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Permit w CITY OF TIGARD PLUMBING PERMIT i� DEVELOPMENT SERVICES PERMIT #: PLM2005 -00444 „� I + - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 005 PARCEL: 1 1 S12 S12600 -00300 SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Add restroom 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: 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 [PLMPLN] Plan Review 9/8/2005 $18.12 TIGARD, OR 97223 [PLMPLN] Plan Review 9/19/2005 $2.63 Phone : 503-639-8865 [TAX] 8% State Surcharl 9/19/2005 $6.64 [PLUMB] Permit Fee 9/19/2005 $83.00 Contractor: Total $110.39 ABC CONTRACTING 11945 SW PACIFIC HWY. #306 REQUIRED ITEMS AND REPORTS TIGARD, OR 97223 Phone : 503- 620 -41757 Reg #: LIC 162558 PLM 26 -786PB 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- 00- 332 -2344. Issued By: A. (a7:,(4.} Permittee Signature: 4N - dyyy /Z — 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. 0139 0 I,Jo..w ..., 4 -.sq Rol. Plumbing Permit Application City of Tigard n 9 7 p, j Permit No.. ayes tip ii 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 ar ,41110 v tip .:- 1 Date/ Review By. g I cl ) O - --T1-1.-, aher Peunit No.: € 1W,QapO, --- 6°a-7 9 24- Hour Inspection Line: 503.639.4175 .A 1 1 Date Ready/By: "• RI See Pace 2 for -7 4-- i A Internet www.ci.tigard.or.us p i y�ny� ' Notified/Method: Sapplementallnformation ,T3PE . O Weak , - • , .� w, r FE k,. . `10 - u • El New construction ' Demolition For special information use eiecklist Description I Qty. I Ea I Total 1 1:1 Addition/alteration/replacement ® Other Tenant Improvement New 1- 2- family dwellings (includes 100 ft for each utility connection) V I . •' '' - CAT ;GO1tY_ =OF . CONSl�'RUCT1OAf . • SFR (1) bath ; �� -''•\ �) 249.20 ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath ��,)1 \\ i - r 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath - 399.00 ❑ Master builder Each additional battdkitchen v 1 r( ' J 45.00 ® Other. Tenant Improvement Fire sprinkler (_ sq. ft) ,, Page 2 . 3OB `.81" FAI4fb ►TION A'ND•+ :OCA'E`loN - " _ Site utiities �1 `,' , .," t`' 1 Job site address SW Washington Sq, Tigard, OR 97223 Catch basin or area .,i4c,4�W\ \ a 16.60 City/State/ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: R09 I Project name: Naartjie Custom Kids, Inc. Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Washington Square Manholes 16.60 Rain drain connector 16.60 t Sanitary sewer (no. linear ft.: _) Page 2 Storm sewer (no. linear ft: ) Page 2 Water service (no. linear ft.: , ) l Page 2 i Subdivision: I Lot no.: Fixture or item / Tax map /parcel no.: ! W mono -40030C) Absorption valve 16.60 - ' • - . • 'DESCRIPTION OP WORK • Backflow preventer Page 2 Retail Tenant Improvement Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 (r +,_ I , � ® - , Drinking fountain 16.60 Ejectors/sump 16.60 Name: Naartjie Custom Kids, Inc. Expansion tank 16.60 Address: 2369 W Orton Circle F sewer cap 16.60 City/State/ZIP: Salt Lake City, UT 84119 floor sinklhub A- t I 16.60 /6 . t,() Phone: (801)550 -5300 Fax: (801)9758144 Garbage disposal 16.60 E Al' 0414 • .- ig ak4i ' i woi Hose bib 16.60 Ice maker 16.60 Business name: Naartjie Custom Kids, Inc. Interceptor /grease trap 16.60 Contact name: David Forbush Medical gas (value: $ ) Page 2 Address: 2369 West Orton Circle Primer / 16.60 /6./0 City/State/ZIP: Salt Lake City, UT 84119 Roof drain (commercial) _ 16.60 Phone: (801) 550 -5300 I Fax: : (801) 975 -8144 Sink/hasi / 16.60 /`, , to 0 Tub /shower / shower pan 16.60 E -mail: dforbnsb@naartjie.com Urinal 16.60 // / - COrtilit TOR .: - . , , • , 16.60 Water closet / /C, . 6 U Business name " , ur 1t+ / . l / _ Water heater J 16.60 /1 ( a Address: / N p er: t City/State/LIP: GJ 7 a a 3 t Subtotal Phone: Minimum permit fee: $72.50 . .O ( 3) 6,� Q - '? . Fax: ( ) Residential backflow minimum permit fee: $3625 r CCB Lic.: I 6 x 6 6g r d . , , Lic. no.: oZ f0 . - 7g� pe Plan review (25% of permit fee) , ;NEIII Authorized signature: �. O /_ State surcharge (8% of permit fee) ' 0 --� ' - /� - TOTAL - PERMIT - FEE - 1' Print name: David A 1 o , ash Date: 09/07/05 I This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. arm.. _...L_J ......... ..... t... r . /_.._w. n.. :IJ:...- 1.. J....._.. C....:..,. n.._ ao -7a 1 777F - E9 39 CITY OF TIGARD 13125 S.W. HALL BLVD. �� TIGARD, OR 97223 C� OE D SEp IMPORTANT PERMIT NOTICE 21 1 045 ABC CONTRACTING , Op T HWY. SW PACIFIC HY. #306 Qi��mil TIGARD, OR 97223 Plumbing Signature Form Permit #: PLM2005 -00444 Date Issued: Parcel: 1S12600-00300 Site Address: 09390 SW WASHINGTON SQUARE RD Subdivision: WASHINGTON SQUARE Block: Lot: Jurisdiction: C -G Zoning: TIG Remarks: Add restroom Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: WASHINGTON SQUARE LLC ABC CONTRACTING BY THE MACERICH COMPANY 11945 SW PACIFIC HWY. #306 9585 SW WASHINGTON SQUARE TIGARD, OR 97223 TIGARD, OR 97223 Phone #:503- 639 -8865 Phone #: 503- 620 -41757 Reg #: LIC 162558 PLM 26 -786PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X M t5� (), p5 AFAco Signature of Authorized Plumber If you have any questions, please call 503.718.2433. l 1- • CITY OF TIGARD PLM2005 -00444 BUILDING DIVISION • PERMIT #: 9 /19/2005 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 .. _:. b7 I I . 10/24/2005 ' 7:02AM 80 INSPECTION WORKSHEET FOR ' DATE: TIME: PAGE: 09390 SW WASHINGTON SQUARE RD SITE ADDRESS: WASHINGTON SQUARE CLASS OF WORK: SUBDIVISION: NAARTJIE CUSTOM KIDS LOT #: TYPE OF USE: PROJECT NAME: Add restroom DESCRIPTION: WASHINGTON SQUARE LLC, 503 - 639 -8865 OWNER: ABC CONTRACTING PHONE #: 503- 620 -41757 CONTRACTOR: PHONE #: 10/24/2005 Inspection Request Scheduled For: Date: Pour Time: . C% # I gEn t l io fDe cription S 88 -\ 68s Me9age Corrections /Comments / Instructions: • 7. f. 1 r • • . 1 7;ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION , ❑ ADDITIONAL FEES ASSESSED V i l l Inspector: Dat i i 41 Phone #: (503) 718 - i I• ' CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00444 11, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2005 Phone: (503) 639 -4171 /a+aa Inspection Requests (24 Hrs.): (503) 639 -4175 ":_.. INSPECTION WORKSHEET FOR DATE: 29/2005 TIME: 7:Q8AM PAGE: 82 SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: • PROJECT NAME: NAARTJIE CUSTOM KIDS DESCRIPTION: Add restroom OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: ABC CONTRACTING PHONE #: 503-620-41757 Inspection Request Scheduled For: Date: 9/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 016974 -02 801- 859-5686 N Corrections /Comments/ Instructions: -/ _ ii • — OX • • 711 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: - Phone #: (503) 718- , CITY OF TIGARD BUILDING DIVISION PERMIT #: PLnn20000444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2006 Phone: (503) 639 -4171 InspectiorrRequests (24 Hrs.): (503) 639 -4175 ' F`' 1 ;. INSPECTION WORKSHEET FOR DATE: 9/23I2005 TIME: 7:07AM PAGE: 80 SITE ADDRESS: 09390 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: • PROJECT NAME: NAARTJIE CUSTOM KIDS DESCRIPTION: Add restroom OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865 CONTRACTOR: ABC CONTRACTING PHONE #: 503.620 -41757 Inspection Request Scheduled For: Date: 9/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 016414 -02 801 - 859.5686 N Corrections /Comments/ Instructions: • / /l ►J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL , ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ✓ ∎J Inspector: ��r / ( Date: �� Phone #: (503) 718- •