Permit CITY TIGARD PLUMBING PERMIT
fJ
it DEVELOPMENT SERVICES PERMIT #: PL /29/20 -00660
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/29/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I. Other fixtures: (1) drinking fountain, (1) sump, (1) expansion tank, (2) primers, (1) hose bibb.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: M FLOOR DRAINS; 4 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 6
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 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 12/29/200: $312.00
TIGARD, OR 97223 [PLMPLN] Plan Review 12/29/200E $78.00
Phone : [TAX] 8% State Surcharl 12/29/200: $24.96
Total $414.96
Contractor:
D & F PLUMBING
4636 N ALBINA AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97217
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 -6 99 or 1-800- 332 -2344.
Issued By: Permittee Signature: S) cX13 . c � �dn.
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 am required on the job site at the time of each inspection.
--,
Dec-29-05 08:35A P-02
...
U lbill s Permit A 1 1 lication FOR 0 FF1C1.; 1 iSF. ONLY
Received /74 . . , Plumbing
• rt r t. 4 ,,
DatelB . is7/1/rAi‘p Permit No301..)D 00 1010
n L_ kJ; r.LH F. -.L. Planning Ap.rov Sewer
1 • f Tigard Date/By. Permit No..
13125 SW Hall Blvd. ocr o 9 9005 Plan Review Other
Tigard. Oregon 97223 '-'-' '''' ' . Data/By: Permit No.:
Phone: 503 Fi 5098-19k0 ,,,,,...., , . , ;,,, Post-Review Land Use
Y OF TIGARD _ e. , ill i ' _ Ostr./By: Case No.:
. . _
Internet: www.ci.tigard . 1.,
..--ILLIk oi I Contact
1 gig See Page 2 for
24 inspection Reclif t. `5M596Y4c/9 - • - - ---* Narne/Method: Supplemental Information.
. ;04 ' ' . • :'.f '''EVIZCI.VINVORX.','1: •: '. - •:4FEEeS 0 'U ft' :. . n■ "' ' )'..:'• -,
New construction
F D Demolition
Addition/alteration/replacement D Other: Description Qty. Fee(ea.) Total
!I'l '....... ' .....'41,q -; ' j ' A '. ..`k r .
: ;;;;445:Wig stiimitudisa0ext; oH • • ;11 ' i' • anectlea) .. ..,... s: ...::'
.' .'• -, f: '''Z' - • .....CATEGOWYkilklatil Rlit'lliON:i•i;qo''' • • • : SFR (1) bath 249.20
El 1 & 2-Family dwelling L:ommercial/Industrial SFR (2) bath 350.00
Accessory Building Multi-Famy il SFR (3) bath 399.00
-am
Master Builder Other: Each additional bath/kitchen 45.00
qr.
r •' . :*ICSItrit irr% VORTAX inaDSCATIO ..... : : . Fire sprinkler - ssft _.: Pape 2
Job situltea: ( 13")1 v.: tifetv sporto RI , P,gfisife0111trifelfteiirt . .:'
s F:3 `' in°511 I Bldg./Apt.#: Catch basin/arca drain 16.60
Drywell/leach line/trench drain 16.60
Project Name: Atc ra 1- F; r Footing drain (no. linear ft.) Page 2
Cross street/Directions to job site: t -c J e Manufactured home utilities 110.00
e'' - tite At c wAchrk ,s /. g
rec
1.4/ iir,:04
Manholes 16.60
r1G,Ir r 'Ti: ilexj814)/ , Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: I Lot #: Storm sewer (no. linear ft.) Page 2
Water service no. linear ft. Pti:e 2
Tax map/parcel #: ,•;-.4.".f.''." cr i'itc.. ': : If ' • ,; .._:,;,:it,r .1
.' • .:e - • .:Aits6R1000.1iifeir w.t2i)K.'...!.•OPIV. :;?.15; ,.• .
Absorption valve 16.60 ,
.E lb ct l.brzlerAT ( .// Backflow preventcr / Page 2 We. 44)
FDT To A b 4 & cv4e 1 `y41K4 F.:/4,)i Backwater valve dr 16.60
J
1-"ocir fhwr , f'-‘r "Ant - C ITT. i 6 Clothes washer 16.60
Dishwasher 16.60
$111111V Drinking fountain
i 16.60 /6,40
OTI:..7MMT:27:1MELVITin:nL., Ejectors/sump 16.60 /1
Name: Expansion tank 16.60 14,60 ,
Address: Fixture/sewer cap A 11 . 16.60
Floor drain/floor sink/huh UNA, it 16.60
City/State/Zip:
Garbage disposal 16.60
Phone: Fax: Hose bib I" • 16.60 1 A , 60
..ffri2DrieZTEMETZEIIMEoniNER=.?..;.•,(P i - 41
ice maker 16.60
Name: b* F i 44/ Interceptor/grease trap 16.60
Address: 143L iltrni 41 hi,44---A/c. , Medical gas - value: $ Pate 2
Primer )1(2, 16.N 66 I
City/State/Zip: 1 re-.042/1 q70/7 Roof drain (commercial) 16.60
Phone: I Fax: S•c - aec -409 ' Sink/basin/lavatory ao 16.60 33 .40 • E-mail: Tub/shower/shower pan 16.60
• ' •• .. 'MO' - ' 4 ; dOfer*Viro • ;1/4,1g:.1 ...: ,.. Urinal
ill 16.60
. -....
Water closet r 16.60 3 a,a,9
Business Name: 1,)11- F Pk/ fel*. , Water heater 16.60 f .6.0
,..
Address: ,iik4_ e",. ..c.(711 / I I x., 4 / ..- Other: in i $ i A K le 14 i4 IA ,egp
City/State/Zi p : 7 -r D r - epeo Other: . 1 . i r. . . . , : . : . !!, I . ..t_li.s,,L..,•■ • ■••• e
Phone: o .36 4.99:3 Fax: So cee-616'Y . _..,..,..-- -_, • Rfflorth6f. • =*_eig' xil tiF - -'' ` .?::: '''__ ____ ____„'.:•;ti.......pl , . , .,-,
CCB Lic. #: 1 1 Phi lb. Lic.#: el6C3q fa
Authorized ...„, „.......... -•r -!" •
"oss/"f- Minimum Permit Fee $72.50 S
Residential Backflow Minimum Fee 536.25
Plan Review (25 of Pemtit Fce S 4 7% 70 /9:
si ;.:%/0-5- --; Date: 1.3 - c`j
11; fIC e trIkVe 1/ et,..h State Surcharge (13% of Permit Fcci $ 4?ct, CS' ....2
(Please print name) TOTAL PERMIT FEE $ i ...0,11 8
Notice: This permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plans with isometric or q j.j j4 .
ISO days after it has been accepted as complete. riser diagram for plan review.
• Fee methodology set by 'fri-County Building Industry Service Board.
i:43sts‘Pcrrnit FormsTimPerrnitApp.duc 01/03
C. 1 ca n v/ATer . Fc..e:5 re7 kb
fat) (by Otheis
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00660
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12129/20135
Phone: (503) 639 -4171 , � 1
Inspection Requests (24 Hrs.): (503) 639 - 4175 . .. I
INSPECTION WORKSHEET FOR DATE: 1 /6/2006 TIME: 1:00AM PAGE: 45
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE & FITCH
DESCRIPTION: T.I. Other fixtures: (1) drinking fountain, (1) sump, (1) expansion tank, (2) primers :, (1) hose bibb.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: D & F PLUMBING PHONE #: 503282 - 0993
Inspection Request Scheduled For: Date: 1/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 024501 -01 503 -2B2 -0993 N
Corrections/Comments/Instructions:
•
/ 0
• el
76-15 • ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: Date: I! 06f Phone #: (503) 718 -
CITY OF TIGARD : ,.- •
BUILDING DIVISION PERMIT #: P11/12005.0UC60
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2005
Phone: (503) ��
639- 4171+r (
Inspection Requests (24 Hrs.): (503) 639 -4175 L.
INSPECTION WORKSHEET FOR DATE: 1/12/2006 TIME: 7 :02AM PAGE: 30
SITE ADDRESS: 09377 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: AI3ERCROMBIE & FITCH
DESCRIPTION: T.I. Other fixtures: (1) drinking fountain, (1) sump, (1) expansion tank, (2) primers, (1) hose bibb.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: f) & F PLUMBING PHONE #: 503 -262 -0993
Inspection p Request Scheduled For: Date: 1/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 0246513-01 503 - 262.0993 N
Corrections /Comments/ Instructions:
AI / - - ..... J
or /rte - / '/
[ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Or
Inspector: 0'2'1 v Date: I Phone #: (503) 718-
1
1
- `l
CITY OF TIGARD !i
BUILDING DIVISION PERMIT #: PIw. tag-- DO 4:4 O
4111 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 , i ll
Inspection Requests (24 Hrs.): (503) 639 -4175 °:_—
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 91;7,7 f /a , ` Sly ,/� """ .. �,1/ CLASS OF WORK:
SUBDIVISION: // LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: t PHONE #: 9.7"3 p- - 09 3
CONTRACTOR: Vi..` 1:- ' a PHONE #:
Inspection Request Scheduled For: Date: i o S° Pour Time:
Code # Inspection Description Confirm # Contact # Message
39 F ".� PrKA tp‘ze •
Corrections /Comments /Instructions: c: .?/1 & ---1-1-..
•
Of iSASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �V'� Date: ' b i g Phone #: (503) 718-