Permit ,
diri I . OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00416
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/2/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 ZONING: C -
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: SELECT COMFORT
Project Description: TI - replace, cap and add fixtures.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS; 2 TRAPS:
STORIES: WATER HEATERS: 2 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WASHINGTON SQUARE LLC Description THE MACERICH COMPANY escription Date Amount
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 9/12/2007 $166.00
TIGARD, OR 97223 [TAX] 8% State Surcha 9/12/2007 $13.28
Phone : Total $179.28
Contractor:
MODERN PLUMBING
11120 SW INDUSTRIAL WAY
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -691 -6166
FAX 503 -691 -6771 •
Reg #: LIC 87906
PLM 34 -250PB
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.
Permittee Si nature:
Issued y: ■ �, �� �, / ' g
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.
4Sep. 10. 2007 8:13AM Modern Plumbing No. 1626 P. 2/3
,
■ Plumbin- ermitA1 1 ,_ FOR OFFICE i.sl:. o.l.\
City of Tigard • Permit N r
/- l�r2dU�
: t � 13125 SW Hall Blvd,, Tigard, OR 9722 �0 �/ -
Phone: 503.639.4171 Fare 503.598. 10 2117 , � ':
_ rthar ?emu No Sidgzitq
T I( 4 t i Inspection Lute: 503.639.4175
Date Ready/By: Internet; www.tigard- or.gov
A i Edified/Method: d S 9 / . S Tyr, Sot Page 2for
o, .lerueotal Inform°t;on
,:_, . ,.. TITL' = 4 'N d la 1► 11 \ • , A :4 , FEp• ',n'IWULr1.E` ` `
E New construction - Demolition ` /D i'' , • ecigl • orrnation rata checklavr.
- Dca/iplien Qtc, Ea. T
*1 Addition/alteration/replacement ❑ Other:
. , _ ':r['.:;:i: �.,:i.' -•-', ty.OF .. :. .. �' - dwellings elude 1008 for connection) ON' ' ' '. . . ' .
. utility c coon )
(includes
SFR (1) bath 249.20
0 1- and 2- family dwelling 'Cornmercial/industt'ial SFR (2) bath _ 350.00
in Accessory building [] Multi - family SFR(3)bath 399.00
❑} builder
ster
0 Other: Each
additional bath/kitchen 45.00
j{ : ;. :,ii[ 'B , 51 ......FCt' Fire sprinkler ( sq. ft.) Page 2
Site uNl[tlea
Job site address � , D
,..� Catch basin or area drain 16.60
City /State/ZIP: Ti n a r d , O dl q -j 2_2,3 Drywell, leach line, or trench drain I6.60
Suite/bldgiapt. no ko o Projo n am e : Sal - at Footing drain (no. linear ft.: ___) Page 2
Cross street/directions to job site; Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft : ._) Page 2
Storm sewer (no. linear !i: _) Page 2
Subdivision: I Lot no.: Wafer service (no. linear ft.: ) Page 2
Tax map/parcel no.: / /074 DOit!2� _ ureoritcm
:�`;:M ;
,;-;{'., , >r � - rlb ampticn valve
< r'.; }`: `f ` ::itli C'R1P•`f 13N'OF `: 16 60
r •• }- ' ''.. ....... i , . 87tckflow preveate Page 2
I e n a r• 1 1 c ro ve Me�� BarJcwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
, :�� t , :. :r>'Rtai : oR %f Drinking fountain t 16.60 16 6 0
EJe 16.60
Name:
Expansion tank 16.60
Address:
fixture /sewer rap 16.60
City/State/ZIP: Floor drain/floor sink/ hub _ ,D-.. , _ 16.60 33 Z O
-
•
Phone: ( ) Fax: ( ) Garbage disposal 16.60
�] .'APPLYC F �'. '.C'PNTAC`I,,'P ,4 Hose bib 16 -60
UN ` ..
Business name: Ice maker 16.60
hsterceptor /grease trap 16.60
•
Contact name:
Medical gee (value: S ) Page 2
Address: Printer
_ 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) - I Fax:: ( ) Sink/basin/lavatory 3 16.60 LC t
E-mail: Tub /shower/shower pan 16.60
Urinal 36.60
.:..'. <:: 1
.: : _ :,' ' ales. closet
W 6.60 33 La
Business name: MODERN PLUMBING CO. Water heater 16.60 9 7 2.0
_
Address: 11120 SW INDUSTRIAL WAY Other: I
City /State/ZEP: TUALATIN, OR 97062 Subtotal 6,dC)
Minimum permit fee: 572.50
Phone: (503) 691.6166 Fax; (503) 691 -6771 Residential bactdlow minimum permit fee: $36.25
CCB Lie,; 87906 lambing Lie. no.: 34-250PB Plan review (25% of permit fee)
Authorized signature:� State surcharge (8% of permit fee) s.3 L4
PPP��v / TOTAL PERMIT FEE i 71, Zg
Print namene, bra. I� - C ear 9 Date: 9/7/(1 7 This permit application expires it a permit is not obtained within
/ 180 days ants. it has been accepted as complete,
*Fee methodology set by Tn - County Building Industry Service Board.
1:\ BuitdirgwormiIPUN- Permirwpp.dac oerisioe 440
tO i )6{ C'S
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2007
Phone: (503) 639 -4171 y t I•
Inspection Requests (24 Hrs.): (503) 639 -4175 • IL.
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7 :00AM PAGE: 27
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI - replace, cap and add fixtures.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503- 691 -6166
Inspection' Request Scheduled For: Date: 11/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 060483 -01 503.691 -6166 Y
Corrections /Comments /Instructions:
rA c t.■ Lk 9(t.)
•
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED •
Inspector: t , � � Date: 8/2,9 /O Phone #: (503) 718-
•
CITY OF TIGARD
;
BUILDING DIVISION PERMIT #: . PLIV12607-004116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101212007
Phone: (503) 639-4171 47/4,100,1 •
•• Inspection Requests (24 Hrs.): (503) 639-4175 • 414-
•.,
INSPECTION WORKSHEET FOR DATE: 11/28/2007 TIME: 7'QQAM PAGE: 36
SITE ADDRESS: 094122 SW WASHINGTON SQUARE RD KCS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI - replace, cap and add fixtures.
•
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 11/29/2007 Pour Time:
' Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 060366-01 503-691-6166 Y
CorrectionS7Comments/Instructions:
•
•
•
0 PASS 0 PARTIAL APPROVAL • g CANCEL 0 NO ACCESS
n FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Iripector: ( 1) Date: /1 2110 Phone #: (503) 718-
•
•
CITY OF TIGARD ___
BUILDING DIVI PERMIT #: PL.M2007 -0(4 I6
13125 SW Hall Blvd., Tigard, OR 97223 '/ DATE ISSUED: 10/212(107
Phone: (503) 639-4171 p,,
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ii�
INSPECTION WORKSHEET FOR DATE: /1121/2007 TIME: 7 :00AM PAGE: 33
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI - replace, cap and add fixtures.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: _ 503 691 - 6166
Inspection Request Scheduled For: Date: 11/21/2007 Pour Time
Code # Inspection Description Confirm # Contact # ■ 'essage
3 88 Plumbing final 06010.9 -01 503 -691 -611# N
Cor ctions/Comments/lns ru do s:
p v — . 1 0 6 / 0 - ) MD
Aikr.J2 % ' Co C///&e.-ej, J1
, D 0 , (-0- - ' a in.,,,c,a (2,L_A
_ 4 0____ - -1-Tes"
' 1 t'l ....---------- . 1 ' 7 . //u-
t
. \
/ '
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
V FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
u ./ '1I I f l � � -2A
Ins ect or : Date: 4 Phone #: 503) 718 -
P �
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 00 16
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101212007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 111 TIME: 7 :0.1AM PAGE: '„?2
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD 1(06 CLASS OF WORK:
SUBDIVISION: WASHINGTON fON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI - replace, cap and add fixtures.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503-691-6166
Inspection Request Scheduled For: Date: 11/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final • 0599083 -01 503-691-6166 Y
Corrections /Co / Instr 1-1
SQ.A,‘ \ S, e„!l •r- co . - \ TL. \ 1.
P it?Y‘A -e Ace e { Va It v (r6 ✓ I -4_ (r
No Hal (,:� �:.J -ei - ta t o 14 -bkt4 120 ° :
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CSI-1 + 1 Date: /1)/9 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 0(3116
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2007
Phone: (503) 639 -4171 ' , ^ 1 A
Inspection Requests (24 Hrs.): (503) 639 -4175 '!+� ''!L.
INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7 :02AM PAGE: 12
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI - replace, cap and add fixtures.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503-691-6166
Inspection Request Scheduled For: Date: 11/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 058823-01 909-297-8505 N
Corrections /Comments /Instructions:
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: rTh t'W -A----) 1\ \ j Date: I 1 I 1 107 Phone #: (503) 718-
CITY OF TIGARD r_- .
BUILDING DIVISION PERMIT #: PLM2007.00416
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02AM PAGE: 31
SITE ADDRESS: 03122 SW WASHINGTON SQUARE RD KO6 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI - replace, cap and add fixtures.
OWNER: WASHINGTON SQUARE t-LC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503-691-6166
Inspection Request Scheduled For: Date: 10/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
30t Plumbingunderslab 058616 -05 903297 -8505 N
Corrections /Comments / Instructions:
P a) ) e 41,s�, c,J c C a (- -;
$ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (5VVr —A Date: )-- `c7(2� JD? Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00416
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/212007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 Zeit
_..
INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02AM PAGE: 32
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI - replaces, cap and add fixtures.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUME3ING PHONE #: 503-691-6166
Inspection Request Scheduled For: Date: 10/3012007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 058615 -04 909 -297 -8505 N
Corrections /Comments/ Instructions:
PDT
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
RFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (�r�_ ��L_ Date: ( 1 1 Phone #: (503) 718 -