Permit F,, .1
CITY OF TIGARD PLUMBING PERMIT
i4 DEVELOPMENT SERVICES PERMIT #: PLM2005 -00490
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 DATE ISSUED: 12/12/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Other fixtures: (1) expansion tank, (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: 2 OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WASHINGTON SQUARE LLC
BY THE MACERICH COMPANY Description Date Amount
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 12/12/200E $116.20
TIGARD, OR 97223 [PLMPLN] Plan Review 12/12/200E $29.05
Phone : 503 - 639 -8865
[TAX] 8% State Surcha 12/12/200: $9.30
Total $154.55
Contractor:
D & F PLUMBING
4636 N ALBINA AVE
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 282 -0993
FAX 503- 288 -0604
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 B 1 Permittee Signature: iA .� Q5
y � -� K QS 'l e
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.
Dec -09 -05 03 :OOP P_O1
KW r mg" 1' Like a.� FOR OFFICE USE
p ing Permit Aj phcation Received Plumbing
flatrJB : Permit N
0 Planning Apprcwal Sewer
D Permit No
City of Tigard L 7 I V • J oe1� . ,
13125 SW Hall Blvd. Plan Review Other
Date/By. Permit No.'
Tigard, Oregon 97223 Post- Review land Use
Phone: 503 -639 -4171 Fax: 503.598 -1960 l I ,. Post -R Case Nu.:
Internet: www.ci.tigard.ur.us ' d �� AIL Contact Juris.: E1 See Page 2 for
'?4 - hour Inspection Request: SU3 -(i3, 75. - " � Nanx Supplemental information.
--
* i .: • , . TYPE 'OF WORK ' . '' , F EE•:SC1tEDULE' for s teciid iufoiitgflionluse checldist
New construction _ 0 Demolition Descri lion Qty. N'ec(ea_) Total
rj Addition/alteration/replacement ❑ Other: ', •• ..isie►w'1�' &?= fa�ttilyd>��clit ks,
-' fur,each;utility!eonnection)
CATk:00RY OF CON RUCTION SFR I bath 249'20 -
.7 1 & 2- Family dwelling J .ommerciaVIndustrial SFR (21 bath 350.00 _
■ Access° Building R Multi - Family SFR 3 bath 399.00
• Master Builder • Other - Each additional bath/kitchen 45.00
' • .301 srrE'• and •I:OC TION Fire sprinkler - sq. ft. Page 2
I► .�.... �• ... • .i " e; nii•i • � ; , • • '' Slte•UtltttleS ' " � ' • Job site address: - _S • YID 664 16.60
Suite #: B /A t. #: Catch basin /area drain
1 prywelUlcach line/trench drain 16.60
Project Natnc u 1 ', t 1 K �� Fooling drain (nu. linear ft: Page 2
Cross street/Directions to job site. d4 Manufactured home utilities 110.00
3....A. 3....A. the new v✓�sr Sr J t I, ' Manholes 16,60
e 9 f ` 1,✓ c s, e7vA Sere- AIRA Ruin drain connector 16,60
Sanitary sewcr_ linear ft.) Page 2
-
Subdivision:
I Lot #: Storm sewer (no, linear ft.) P ge 2
• Water service no. linear ft. Pa_e 2
Tax man /parcel #: .'••'•' '' - " : : ,,, N''= • .Fixtni'er;uir tern' ,. �:: ;; ?:.;:: '
DESCRIPTIONOk WORK p 16.60
'� _ T Absorption valve
; 1 rU f _ O11 A ) i 7.- _ Back flow prcvcnter Page 2
A - ; D S AT C � � Backwater valve 16.60
(2/1c / �� 1,/� r . Tc Clothes washer 16.60
Flo, r �A J �� 7� �C`� k" Dishwasher 16.60
1 t t
of / i ✓l. T7t� ?t: ee Av Drinking fountain 16,60
II I c igI; a q;,c a.0s : 'P'fing li 11 :TE ANT'1:.4J',i.;.:d„i' • '. . Ejectors/sump 16.60
Name: Expansion tank 16.60
Address: Fixture/sewer cap 16.60
Floor drain/floor sink/hub i 16.60 _ /640
City /State /Zip. Garbage disposal 16.60
Phone: Fax: Hose bib - 16.60
GCBNTAC'I':pl?iR501 16.60
1NE itGA - Ice maker
Name: . ,N1--r r i ii_ / n _ Interceptor /grease trap Page I 6. 2
_ Address: - Pr 1 gas - value: / 16.60 1/, r
City/State/Zip: . drain (commercal)
16.60
Phone: Fax: sink/basin/lavatory - . % _ 16.60 14 t _. 60'
E-mail: - Tub/shower/shower
-mail: Tub /shower /shower pan _ 16.60
COl\1TRAGTOR °' . _ Urinal 16.60
Business Name: f Water closet % 16.60 JIa r 60
Water heater J 16.60 / , JO'
Address: y1 n r T l hits . other, 0�1 1 5 Mt( 1 /L,A _lb,
City/State/Zip: of rig 1 rei it 973/7 Other: -
Phon e: - 0 Fax :St. ()Se -� ... .,•. i t'.,, uin
Plb iii _ ",ke'i /nit F t:': '''• ' ":,
3 113 _ � Subtotal r �j - . � J
GCB i.ic. #: y Plot 1b. Lic. #: ��6 �� Minimum Permit Fee $72.50 $
Authorized -� -:, ,.�i� , Residential fackflow Minimum Fee 536.25
Signature: j , , / • .__ Date.] a -6 " ' Plan Review L25% of Permit Fee $ c i ERTA
V rQGe R 3 e atC:1l __ State Surchar• c 5% of Permit Fee ,
(Please print name) TOTAL. PERMIT FEE irti: -
Notice; This permit application expires if a permit is not obtained within Ail new commercial buildings require 2 sets of plans with Isometric or
ISO days after It has been accepted as complete. riser diagram for plan review.
•Fee methodology set by Tri Building Industry Service Blvd.
i. \Dstti∎Permit Forms TInTermltApp.dnc 01/03 C 1 a ik i/I) 7 r e 13 '
(by rAcrs,
CITY OF TIGARD _4
BUILDING DIVISION PERMIT #: P1.M2005-004O0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J12J20ta5
Phone: (503) 639 -4171 �a-'•-p ^.'�I�
Inspection Requests (24 Hrs.): (503) 639 -4175 J
INSPECTION WORKSHEET FOR DATE: 1/30/2006 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 083E4 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE , LOT #: TYPE OF USE:
PROJECT NAME: 111E WALKING COMPANY
DESCRIPTION: Other fixture:: (1) expansion tank, (1) primer.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639.88E ",
CONTRACTOR: [7 & F PLUMBING PHONE #: 503-m.0993
Inspection Request Scheduled For: Date: 1/3017006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 025962-02 360-907-0718 `f
Corrections /Comments /Instructions:
fi •
/ CY
• Q!PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 Phone #: (503) 718-
lipori OF TIGARD
V.
•
DI NG DIVISION PERMIT #: PLM200E 00490
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/12/2005
Phone: (503) 639 -4171 ��
Inspection Requests (24 Hrs.): (503) 639 -4175 . J _
INSPECTION WORKSHEET FOR DATE: 12/14/2005 TIME: 7 :01AM PAGE: 29
SITE ADDRESS: 09354 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: THE WALKING COMPANY
DESCRIPTION: Other fixtures: (1) expansion tank, (1) primer.
OWNER: WASHINGTON' SQUARE LLC, PHONE #: 503 - 639 -8865
CONTRACTOR: D & F PLUMBING PHONE #: 503-282 -0993
Inspection Request Scheduled For: Date: 1211412005 Pour Time:
Code # Inspection Descriptiononfirm # Contact # Message
305 Plumbing underslab tOf bw 023468 -01 503.2810993 ' Y
Corrections /Comments / Instructions:
D r"
4 / ■ ■ _ -
•
`PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1)/7 6' „ Phone #: (503) 718-
■