Permit C ITY OFTIGARD PLUMBING PERMIT
A-tow i" DEVELOPMENT SERVICES PERMIT #: PLM2005 -00540
- I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/17/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Hub drain for AC. 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: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 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 10/14/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchan 1 $5.80
Phone : Total $78.30
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: 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.
Oc -05 02 : 3.5P Si /# --(9615tai. 02
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• "Per II - • I. 1_ , ..-..tion
_........, . .. Received () FOR OFFICE USE ONLY
,Plumbin
Plumbing f
Date/By: [VIII 1 t h .f2o6 -0 9/1
Permit No.:
Planning App ova Sewer
City of Tigard , Date/By: Permit o...50_,...006 -0c
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223
OC 1 Z 2*5 Date/By: Permit No.:
Alt A
Phone: 503-639-4171 Fax: 5, ,03-ptikl KO.) . - 4,.' , c i ;'i, Post land Ilse
Datc/By: Case No.:
Internet: www.ci.tigard.orS‘c 1 ' 10 7_44 Contact J ' . See Page 2 for
24 Inspection Requgy( taQ 75 Name/Method: . Supplemental Information.
- '• ::..1* ..-;••;•' " , - . ' e!,'11(PEttP • $ ', . .. .'.1*.f.',:.•.':': • • : •• ', '+FEV'SCIIEDIg:E . 001" Siiielinadi , .
lij New construction 111 Demolition Description .Qty. I Fer..(es.) F Total
.._
f+ddition/alteration/rc slacement • Other: '.; - ' •.: . ''''..n .,,.. ' ' .
. _. !2: , : , .: . '!•'' . ....'i2Staa udelluu'ix.futieuiwutility;iiiiiher.uton) ..• . . '•
*.- i . ".,;:_. • . CATEd0R.Y.OE'CONSTRUCTION ,-.!': , ' ' .
SFR (I) bath 249.20
n 1 & 2-Family dwelling e tS,CommercialAndustri - al
. • SFR (2) bath 350.00
DAc ____.
cessog Building - 0 Multi-Family SFR (3) bath 399.00
o Master Bu 0 Othe
Hach additional bath/kitchen 45.00
3013'SrFKINFOI.MATI ON and LiOCATION • Fire sprinkler - sq, ft.: Page 2
Job site address: 0364 7 .-S, Vi. VIA4eolerptl 4 ,,,,, 12:, ieiv;i:irk....:.1z,,..:i.,,k .:,.; „.:Iii... utilidis......s.."...-.. ... .... ,:. 1.
Suite #: R-O/ Bid ./A t.#: Catch basin/area drain 16.60
4
▪ Project Name: O Drywell/leach line/trench drain 16.60
CCKIGt LI e: ("A ` I -
l Footing drain (no. linear ft.) Page 2
- Cross street/Directions 19 job site: Manufactured home utilities 110.00
S / LTP17 j01-=- Ile_ c •trz-r peyT,:e›A
7e Ms i S
h 4‘ •ry.Tre: Piga /1v <WI/ 'rho, Manholes 16.60
Rain drain connector 16.60
.13,s re,frt i-- v / • Sanitary sewer (no. linear fl.) . Patte 2
Subdivision: I Lot /4: Storm sewer (nu. linear ft.) Page 2
Water service ( no. linear tt.) Page 2
Tax maeparcci it: ' " :':II.Y.'..' . :11pRARictivoe;lplitufkihi . ilt - i l ai 7 .*g-t.W:4,;.fil' 4 *.;_,.:;;RP,:'. ,•':
• '' ' '1 - 4 : . " ' !TOESOMMOMOF Woltle: , . ‘...
Absorption valve 16.60
k /A o fi ileli tiv-t Atele 7 Sro' Backilow preventer Page 2
. ' -morc r--fire'r t c,f RV Ac Z.1;ii Backwater valve 16.60
r v4 Clothes washer 16.60
Dishwasher 16.60
f4A.S &.1 tiii (.,...),- . i t )1. X K . DrinIciniiSountain 16.60
3 E1gAISITO.V!Ii.rlirl.;:!& .:.' , . • ,,i, Ejectors/sump 16.60
Name: Expansion tank 16.60
Address: _Fixture/sewer cap 16.60 _ .
City/State/Zip: Floor drain/floor sinlc/hub , a J., ,, 1 16.60 _
•• • .-
Garbage disposal 16.60
Phone: Fax: Huse bib 16.60
X lerTACIPIT.: • ,,i: . i ._: ' 11: 4,111 CONTAGV-rrr • . - .,4, . Ice maker 16.60
Name: 6 F 1 11)/-43 Interee.t il_rease tra . 16.60
_
Address: iii.„,s 4 ti* ,i1E-ii.7.7 Medical gas - value: S Page 2
_Primer
Sity/Statc/Zipi 0/76/7 Roo(drain (commercial) 16.60
PhonezSt'S 863-70 Fax: S3 (988--44(6411 Sink/basin/lavatory 16.60
E-mail: Tub/shower/shower pan 16.60
- ." .... " .: ' tOrfralt gl!lq - . '17 ' „ ''' ' Urinal 16.60
Water closet 16.60
Business Name: k, F kin / Water heater 16 60
Address: -' : a iMz_zii/c-:- .._ Other: -
.
City/State/Zi• : ,,r-r 4 .• : - , 97al7 Other.
_
Phone .5p •, o?3.3 Fax . 4.W (6:..-ce.ue,'?/ • ' ,...,q:-'4::44A44 tidal:I :,.•'•;'-'..V i .:'•••• . ..i. ..t.::
CCB Lie, #: q Plumb. ic.#: a6 6,7 Al • Subtotal S
Minimum Permit Fee $72.50 $
Authorized __--------. ' -- . .:.::,,,.
Residential - . • Backflow Minimum Fee $36.25
Signature: ---- .00' ' _.....--- Date: /47 '-/C9-e.5. Plan Review (25% of Permit Fee) S
_V; lCe t ( C"
- I 71 Slate SurchainitFeeS_
(Please print name) TOTAL PERMIT FEE S . "7 g
Notice: This permit application expires if a permit Is not obtained within All new commercial buildings require 2 sets of plans with isometric or
1110 davit A fie / It has been accepted es complete, riser diagram for plan review.
*Fee methodology act by TA Building Industry Service Board.
. ,
i :\DsLs\Permit FurrrualmF'ermitApp.doc 01/03 -
NeV kpii)/ '17J rki (44-727-
CITY OF TIGARD
BUILDING DIVISION PERMIT #13141,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 —1 _
Phone: (503) 639-4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 e �..
INSPECTION WORKSHEET FOR DATE: i - V .mac TIME: PAGE:
SITE ADDRESS: q 361-} W X51 . S CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: rm 4. Uk SOS.
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: t PUV ill PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 c1 °1 P 1.. Iq �` �L zAA P
Corrections /Comments /Instructions:
•
.4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v ik 14 ozio (.. Date: H. 2.7,-06 Phone #: (503) 718- 2 t I •
. CITY - OF TIGARD
BUILDING DIVISION PERMIT #: PLM200S -00540
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2005
Phone: (503) 639 -4171 7^4pp ii
Inspection Requests (24 Hrs.): (503) 639 -4175 : '.� ^:_..
INSPECTION WORKSHEET FOR ' DATE: 10/18/2005 TIME: 7:10AM PAGE: 59
SITE ADDRESS: 09364 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: OCCHIALI DA SOLE
DESCRIPTION: Hub drain for AC. Other fixture: primer.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: D & F PLUMBING PHONE #: 503-282-0993
Inspection Request Scheduled For: Date: 10/18/2005 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 018606-01 503- 282 -0993 N
Corrections /Comments /Instructions:
•
•
•
•
FA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: i Oil 110 Phone #: (503) 718- vitgj