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Permit
C ITY OF TIGARD PLUMBING PERMIT PERMIT #: PLM2005 -00527 �i�� DEVELOPMENT SERVICES DATE ISSUED: 10/11/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: T.I. CLASS OF WORK: GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 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 10/7/2005 $72.50 TIGARD, OR 97223 [TAX] 8% State Surcharl 10/7/2005 $5.80 Phone : 503 639 - 8865 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: _ S , Q- - 0N \r( Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. This permit can 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. Oct -07 -05 08: 07A q ji / won, 3q . ! • r P.02 Lulauaaab s .....•.•. ••.• ?1t mbin Permit lication )'Olt or l IC.E b '_ Received . Plumbing r) Date/By: /� 7 -6 cf ` Permit No, \ 1" ri 7 Planning Approval Sewer City of Tigard Datc/By: Permit No.: Si A'SL• b 03 .7 / 1 13125 SW Hall Blvd. Plan Review Other Date/By: • Permit Nu,: Tigard, Oregon 97223 C - Phone: 503 - 639 -4171 Fax: 503- 598 -1960 Pust•Rcview Land Use ; : ;,:..: ,; c , Date/By: Case No.: Internet: wwW.c i.tigard.or.us CITY OF „ L' r r� I Contact Juri .: ® See Page 2 for 24 -hour Inspection Request: Sti;Cg3�}•tii'G , , Name/Method: T I l�� Supplemental Information- :. .:.4.....!.....1:. a TYPE'OWORIC. - ..:.�irf,.: .. ' .., !'S FEE'GIJEDUI,E' for• a' eciallli fo�allontuse'checklist ' - JJ New construction Demolition Description Qty. Fee(eL) Total " Addition/alteration/rep Other: • .: 1 +t}'• tew�='& a<a>nI11J4)Yellings „. - -' Addition/alteration/replacement ;,; ,,ppejuitcs•:> too! ft: -lnririiiviitlii'ty cunnectloo) CATEGO X OF CONSTRUCTION= ; , SFR (1) bath 249,20 El i Commercial/Industrial SFR (2) bath _ 330.00 Accessory_Building Multi-Family (3) bath 399.00 Master Builder Other: Each additional bat /kitchen 45.00 ••'?•'" .3OB m FOlt1S tTION and 1130E TION - Fire sprinkler - sd. R.: _ Pa 2 _ Job site address; 9S7y S W r .4,46/014 � � • '•;:i�.� • ; : ;; ".g7- A'•- :'SitetJii_litles ..? ' ( ; ' ° :• • - . Sulk #: OS Bldg. /Apt. #: Catch basin/area drain 16.60 Dry cll /leach line/trench drain 16.60 Project Name: - Footing drain (no. linear Q) Page 2 Cro, trectlDirec r j c b,irlty; 111€1 � ` Tim) Manufactured home utilities 110.00 &I v t"r q.s ` 44 Manholes I G.GO �� ( E` s "� err tpr/ �s��/ Rain drain connector 16.60 4 qc "6 /) 'f7')4 OF /1, Sanitary sewer (no. linear ft.) Pagc 2 Subdivision: I Lot #: Storm sewer (no. linear ft.) Pagc 2 Water service no. linear ft, Pa • e 2 Tax map /parcel #: ,,.:,,1 `�`^"' - .•,y , .. ...5FIXtU „ :: : s,. �s, '::`:• :sbAPi OAlYOF WOItXt: :q.,..11•7...::-:•-!•. : r r , ' ' • = • _ tfl• _ L Absorption valve 16.60 I F.A�lAh tk' ' fl oils v ./4 _ Backflow preventer _ , Page 2 e. 7,e,r tF J c r i_ Backwater valve _ 16.60 eici.I(Tel )6Oiit O� v ° 7c/• l Td , Clothes washer _ 16.60 _ Dishwasher 16.60 lD t ' fry ©/1c 'W4 Drinking fountain 16.60 R01'$` �ONERuar"xar1[.ElipA1t(1<'k1:: ._ .•.:' Ejec tors/sump 16.60 Name: _ Expansion tank 16.60 ■ Address: Fixture/sewer cap 16.60 P _ Cit /State /Zi Floor drain /floor sink/hub 16.60 City/State/Zip: Garbage disposal 16.60 Phone: Fax: Hose bib 16.60 I 1 41 4 Gorr ;.....,.4 : ieditiWasi 1 EIZSON,: ••, -#4 Ice maker 16.60 Name: Interceptor /ccase trap 16.60 Address: Medical gas • value: $ Page 2 Primer 16.60 City /State/Zip: _ Roof drainscommercial) 16.60 Phone: I Fax: •. Sink/basin/lavatory 16.60 /4,4!) E-mail: Tub /shower /shower pan 16.60 , OR " ` : Urinal 16.60 )' J . O J Urinal closet 16.60 /� . Business Name: l ,fl&& - Water heater / 16.60 /o r Address: A ` I h e i 1J- Other: . City /State/Zip: p , Jr? ./1 ' "7017 Other; - - Phone: ,$ - aeo1 x " Fax: s C ,/ ��•.: rluttbini.2'.erinit•Fies *. • ..: •� . _ • .. . C;CIi Lic. #: y P umb. Lie. #:a / �y' subtotal s � Minimum Permit FeeS 2.5 t S � � 1 1 f � '. g � � Authorised Residential Backflow Minimum Fee 6,25 si �� Date: /.7) Plan Review ( of P ermit Fcc) $ 1 / v/ j _ _ State Surcharge (8% of Permit Feed $ u TOTAL PERMIT FEE S _ _ ..�� ?Maze print name) v � - = Notice: Thus permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plats with isometri IVO days after It has bear accepted as complete. riser diagram for plan review. i *Fee methodology set by Tau County Building Industry Service Boa . t:\ Dsta \Permit FnrmsiPlrnPemiLApp,doc 01/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00527 , 13125 SW Hall Blvd., Tigard, OR 97223 1, DATE ISSUED: 10/11/2006 l 11 Phone: (503) 639 -4171 {. j11l ' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 92 SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: T.I. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8865 CONTRACTOR: D & F PLUMBING PHONE #: 503-282-0993 Inspection Request Scheduled For: Date: 10/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 018042 -01 503-282-0993 N Corrections /Comments /Instructions: • g t - D - A - S - 5 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED l ir2-/ Inspector: Date: (oioy Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00527 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2005 Phone: (503) 639 -4171 - gyp Inspection Requests (24 Hrs.): (503) 639 -4175 .._' °"'I - INSPECTION WORKSHEET FOR DATE: 11/6/2005 TIME: 7:00AM PAGE: 13 • SITE ADDRESS: 09374 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: PAPYRUS DESCRIPTION: T.I. OWNER: WASHINGTON SQUARE LLC, PHONE #: 603-639-8865 CONTRACTOR: D & F PLUMBING PHONE #: 503.282 -0993 Inspection Request Scheduled For: Date: 11/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 020613 -03 360-907 -0718 Y Corrections/Comments/Instructions: 4 41 / / %` - � // ,. kkPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED �� Inspector: �,��' l Date: I/ J g5' Phone #: (503) 718