Permit ti.
a CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00039
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/6/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: ABERCROMBIE KIDS. Backflow on water supply to steamer unit.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: M FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 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 2/6/2007 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 2/6/2007 $5.80
Phone : Total $78.30
Contractor:
ACKERMAN PLUMBING SERVICES
14674 SE SUNNYSIDE RD #159
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503-698-2211
FAX 503- 698 -5066
Reg #: LIC 136601
PLM 3 -427PB
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: J/ Z ) Permittee Signature: 7
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.
02/05/2007 21 :19 5036985066 ACKERMAN PLUMBING SE PAGE 02
02/06/4007 X18 :18 FAX 6036981960 CITY OF TIGARD J 001
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Plumbfne P e n t it AD 11a%iaia 1 ( ) I : V I U I ( I . I ■1 : , I •\ I1
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' ■ 13125 SW Hall 81vd, TiBmd. OR 9 0
r .. ' Phone: 503.639.4171 Fa:c 503398
_ ` 1 - Mar Permit Na!
'mooches Lisa! 503.639r417S 1\.m t > Y helm 61 See s 2 fir
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0 New coeanuedon • Demolition
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Par
' I�A ddision /nitesstioal/tepbeeme0t ❑ Other: Nevi - z4asuy dereMn . euicludee 100 S for each utility commotion)
., 8 . •'r e ' t ' rte. 1. „ . Y; "; . r :' .....t. n .. • --,..re,., " ..e.'- ' '.:4 - ( bolt 249.20
❑ 1- rand 2 - lbmIly dwelling - Cec 1Pmdttrnial SFR (2) bath 350.00
saR (3) bale 399.00
Am:saoty building ❑ Mutti may Pooh edditiwml bathlkitehm _ 45_00
• ❑ Master bui1da ❑ Omer Fire sptlrader (_ a4. it) Page 2 _
; ," p s 4 -gig, "v!�p• #1.0• 0 • 9 ` •' '':;.•.. :, . ` '' ate
Job site address: r 93 5 kJ. (, 1 ( '. �' Candi basin or area mein - 16.60
City/State/UP: f' ' (i't4 Ca 9 Drywall, leads line, or tread drabs 16.60
Sac/bldg. /AFL no.: I Projnet name: Ab h t ,' • P0000* drab: (hat linear ll : ,�) t 00
•-zrr -Q� MtmaTetarod Ea®e atllities
. Cross st to job site: V ar wholes 16.60
Ram drain connector 16.60
. Samitsry sewer (no. linear It: Page 2
Stone sews (m, lip t: Pogo 2 .
Lot no.: _Warar service (no. bear $ : ..� Page 2
Subdivision: Pierre or ben
Tax map/parcel no.: Absorption v 16.60
• u;, , bv v ,.�'.Ya.� � ' Ai kt "� ''r �� 0:" K� 1 8i S•,i;� ru rS7f pop
.r '•i" . + I �l� y RB�P?1 y 1 3'F :a r6S Fl.. :.� BOir�fGYW� i 2 `°p" T 4. v
, Backwater valve 16.60
MIIIILIAIIIIIIIIIIIIIIIIIIIIIIIIII Clot washer 16.60
- �� - 1_..-..,2" , :_ f: .i D-dtvrmaher 16.60
iy lbonfahl 16.60
-. / _ , "', • ' EjectotYS/samp 16 .60
Ndnte: Expansion wok 16.60
Fbo mrlsewer cop 16.60
Adders: .
City/State/VP; Roar drain/Door funklhub 16.60
16.60
• Phon= ( ) Fox ( ) Garbage dlsWml 16.60
. ;r rs e1o9Cbib
p .. .t ' `�f '. 1 / , ' 1 y ,1' 1 .�r R�1!! °J al• :..
'1 � yr.+'.. ;r :�A'• i^ x ,. . , . , ` " • LCC 16.60 IbOker
Business Mow hderceptorigelhe tr6P 16.60
Contact name: Medical pa (WamC S ) i Page 2
Addre43: Primer 16.60
Roof drain (commweial) 10.60
16.60
Phone ( ) I Fax : ( ) Smkibnonllaval by 16.60
[abisbovvadehow+er p®
E- nat7: Urinal 16.60
'''.:!‘e....1..,=', ; � v: _i''` r S y '• t' '4'.'.' • r 16.60
..Jw. `I•'' a '�. '. Waterekraat
Business mom Aci0,401H/ F ¢ ' 4 dun Wan heater _ 16.60
Address: /Sf6 - i,.., .f - Ar s - Ma;
MOW 44 T
cit rstate zi : e(4 c k4 2 r'' `f vo /s Minimum permit Ere S72.50
($� 69 8- ad i t Fax' ( Sea ti98 -,9,6 G 1 deintal *now minimum t� sS36.25 ��
>
Man rovieco (259 of permit Esc)
CCB Lie.: �r6 60 »me Lk ao : 3' S�a7P State emeeane (11% of permit Be) - VP
Authorized Nieuanve: ; ` . J • c . TOTAL PERMIT FEE 7v. 30_
Mb p ermit appocntioa it a permit b not Obtained ^
Print mama: tf fit' 1781P' R. .6- p 7 Inn oqs altar it has been accepted as complete.
*Foe methodology set by Tri Building ladoery service Board.
LirtuildtopesmisInapPassitApp.dco odelte00 mcc ach a tUCOhliWto0
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: PLM2007- 00039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/1612008 TIME: 7:01AM PAGE: 7
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD S11 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AF3ERCROMBIE KIDS
DESCRIPTION: ABERCROMBIE KIDS. Backflow on water supply to steamer unit.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ACKERMAN PLUMBING SERVICES PHONE #: 503 - 2211
Inspection Request Scheduled For: Date: 9/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 075511 -02 503-698 -2211 N
Corrections /Comments /Instructions:
_1 Law GLA, is c. � ✓T t /o✓1 Se . T T o - T'V W Q tJ D;,4V Lt.
Ca✓t
(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t14.4--A I 1 Date: on lopi Phone #: (503) 718-
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00039
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/6/2007
Phone: (503) 639 -4171 ,I
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' "-
INSPECTION WORKSHEET FOR DATE: 2/13/2007 TIME: 7:02AM PAGE: 40
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD 26 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: ABERCROMBIE KIDS. Backflow on water supply to steamer unit.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ACKERMAN PLUMBING SERVICES PHONE #: 503 - 698 - 2211
Inspection Request Scheduled For: Date: 2/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
395 Misc. inspection 043307 -01 503-698 -2211 N
Corrections /Comments /Instructions: S'
_JO LI469 S� 2 / 6 f�
A-SSf 1 oz -/
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IkAIL CA LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 1c1 Date: J ) )6'? Phone #: (503) 718-