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Permit
CITY TIGARD PLUMBING PERMIT ilia DEVELOPMENT SERVICES PERMIT #: PLM2006 -00190 .,� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/9/2006 PARCEL: 1S12600-00300 SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD Al 1 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: TI, replacement of existing fixtures. Other fixtures: 1 icemaker & 1 primer. CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 0 BACKFLOW PREVNTRS: 2 OCCUPANCY GRP: B FLOOR DRAINS; 3 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 5 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Owner: FEES WASHINGTON SQUARE LLC Description Date Amount BY THE MACERICH COMPANY 9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 5/9/2006 $275.40 TIGARD, OR 97223 [PLMPLN] Plan Review 5/9/2006 $68.85 Phone : [TAX] 8% State Surchari 5/9/2006 $22.03 Total $366.28 Contractor: MODERN PLUMBING 11120 SW INDUSTRIAL WAY REQUIRED ITEMS AND REPORTS TUALATIN, OR 97062 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 require you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0 01 -0010 through • - 92-0001-0100. You may obtain copies of these rues or direct questions to OUNC by callin 503 - 246 -6699 • 1 -8I 32 -2344. Issue By: 1 /4 ygt41 , }' Permittee Signature_ _ , 41 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. May 01 06 03:37p MODERN PLUMBING 503 691 6771 p.2 • )• RFCE E ,, Plumbing Permit App1iCation FOR OFFICE USE ONLY City of Tigard MAYO 1 2006 Date V i /V Permit No.: I eri 66/90 ' 13125 SW Hall Blvd_, Tigard, OR 97223 Phone. 503.639.4171 Fax 503.5981~9 x,y;� PlanRev,ew ��/ ^ g /,0 ;j 1 ` Plan 3y. Y Other Permit No.: 24 Hour Inspection Line: 503.639.42111 OF i 1 i 1 A � i t Ready/By: r v _,. DaieRead See Paget for Internet: wwa_cr.tigard.or.lrs No tifieda dy/By: : n, � g �jT.T(T ��T° 1a "4 d5L51foreachadditional -J TY1 E' OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea I Total Addition/alteration/replacement ❑ Other: New 1- 2_ family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath I I- t 249.20 I I K 1- a:.d 2 -; .inuy uwciliug 1 ❑ Curnmerciauindustriai I LJl J \ L n i) _ -- I __L JJ V.W L L- I VNIt ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00_ - I ❑Master builder Each additional bath/latchen 45.00 ❑ Other. i fire sprinkler ( sq. ft.) Page 2 JOB SITE LNFORMATION AND LOCATION �] Site utilities -' -� Job site address: �� 7 6 ��a \ „511.\t:11111-1 h J p(� Catch basin or area drain 16 60 City/State/ZIP: , q a o v _ /� Drywell, leach line, or trench drain 1 16.60 1 1 r' Footing drain (no. linear ft: Page 2 Suite/bldg. /apL no.: Project name: r r lo, ) r_k C Cross street/directions to job si Manufactured home utilities 110.00 R Manholes i 1 16.60 Rain drain connector I 16.60 I I ' Sanitary sewer (no. linear IL: 1 Page 2 I Storm sewer (no. linear ft.: ) Page 2 _ Subdivision: I Lot no.: Water service (no. linear ft: ) Page 2 Fixture or item Tax map/parcel no.: • - Absorption valve 16.60 r DESCRIPTION OF WORK e I Bacldiow preventer 2- Page 2' 9 Z `$ 0 +a r ✓J LtC1C C re vcd e- Backwater valve 16.60 ' Clothes washer 16 60 Dishwasher 1 1660 rb, 6,0 ❑ PROPERTY OWNER 1 ❑ TENANT Drinking fountain 16.60 Ejectors/sump 16.60 Name: Expansion tank 16.60 Address: Fixture/sewer cap 16.60 i CityiState. /ZIP: Floor drain/floor sink/hub .3 16.60 1.4 q, Phone: ( ) Fax: ( ) Garbage disposal 16.60 - ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker ( 16.60 (( , f, 0 Business name: Interceptor /grease trap 16.60 - Contact name: Medical gas (value: $ ) Page 2 Address: Primer i 16.60 to ,( £7 City /State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory 5 i 16.60 i 3 C lC E -mail: Tub /shower /shower pan 16.60 Urinal 16.60 CONTRACTOR CO- Water closet 16.60 _ Business name: { �-'i d ; t� C , 5-4 -, 'p . k 1;.., � , (. Water heater 16.60 Address: e 1 1 Z © S vo t . }' I \ ■ l:�}C�t Other: • +� rl S 2 / 5 --, , - t U City/State/ZIP: - '( 1 (- C + O Z i Subtotal ) Minimum permit fee: 572.50 Phone: (51)3) (...Ct l ( t In FIX: (5ai) ( c: S G.-71 I Residential backflow minimum permit fee: $36 25 CCB Lie. S 1 9 t_4 L.. bing Lic no.: 34 _ 7,56 p j j Plan review (25% of permit fee) l S 5 State surcharge (8% of permit fee) 7.Z 03 Authorized sivaature: 0,1AA ` /� TOTAL PERMIT FEE •360 Z<, • Print name: 1.... toCXGZ h 5s-�� ! (9 cif 9 ' Date: S -I _ p This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • *Fee methodology set by Tri- County Building Industry Service Board_ i 1Bui 1ding PemitApp.00c 06105 440.4616T( l 0/02/COM/ VEa) CITY OF TIGARD / BUILDING DIVISION PERMIT #: PLM2006- 00190 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006 Phone: (503) 639 -4171 itzforhAl Inspection Requests (24 Hrs.): (503) 639 -4175 ,w7;111 .. INSPECTION WORKSHEET FOR DATE: 6 TIME: 7:02AM PAGE: 31 SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD All CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ' LOT #: • TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: TI, replacement of existing fixtures. Other fixtures: 1 icemaker & 1 primer. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 603 -631 -6166 Inspection Request Scheduled For: Date: 5/9/ Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 031474 -01 - 503-681 -6166 Y Corrections /Comments / Instructions: ‘,7( ,, ' - C=7 '714/t4iP l'-.--irk-v . • Cam Q ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � � Date: Phone #: (503) 7 1 8 - g / • CITY OF TIGARD • BUILDING DIVISION ` PERMIT #: PLM2 006.00190 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/2/2006 TIME: 7 :08AM PAGE: 26 SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD All CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: TI, replacement of existing fixtures. Other fixtures: 1 icemaker & 1 primer. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 631 - 6166 . Inspection Request Scheduled For: Date: 6/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 031015.01 503 -6166 N Corrections /Comments / Instructions: � �� / - �/ / /�/�� r. mo t / /.I�� i/ , A � .�L_ - P ASS 111 PARTIAL APPROVAL CANCEL 111 NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: PI 4( Date: ,C ,` Phone #: (503) 718- c7 1 13/ 3/ CITY OF TIGARD , ,. BUILDING DIVISION PERMIT #: PLM2006.00190 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9 /2006 Phone: (503) 639 -4171 1*..a11 yp t Inspection Requests (24 Hrs.): (503) 639 -4175 '!•+i "'II� INSPECTION WORKSHEET FOR DATE: 511912006 TIME: 7:01AM PAGE: 30 SITE ADDRESS: .09467 SW WASHINGTON SQUARE RD All CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: 'STARBUC:KS DESCRIPTION: Ti, replacement of existin9.fixtures. t%t.hei fixtuoes: 1 icomaker & 1 primer. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MODERN PLUMI3ING PHONE #: 503 691 - 6166 • Inspection Request Scheduled For: Date: 5/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 030209 -01 503- 691••6166 N .Corrections /Comments /Instructions: 62 f; l 7rokaj Vjak.ce- LAr._12 a \teA) . keN w\-k Lil/ut Lo\rvii2_LAz4s (5) (; ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ Date: 1" ` 0 Phone #: (503) 718- 2-,17 CITY OF TIGARD BUILDING DIVISION PERMIT #: Pl.M2006- 001110 13125 SW Hall Blvd., Tigard, OR 97223 DATE S/912006 ? Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 111. INSPECTION WORKSHEET FOR DATE: 6/19/2006 TIME: 7:01AM PAGE: 31 SITE ADDRESS: 094167 SW WASHINGTON SQUARE RD All . CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE' LOT #: TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: 7I, replacement of existing fixtures. Other fixtures: 1 icemaker & 1 primer. OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 6166 Inspection Request Scheduled For: Date: 5/19/2006. Pour Time: , Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 030201 -01 503 -691 -6166 N Corrections /Comments /Instructions: • • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NOACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 'Inspector: Date: ` t 6 Phone #: (503) 718- —2--Y2-• CITY OF TIGARD BUILDING DIVISION " ' PERMIT #: PLM2006 -00190 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/20106 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 5/1(3/2006 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD All CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: ST ARBUCKS DESCRIPTION: TI, repl,rcement of existing fixtures. Other fixtures: 1 icnmaker & I primer. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503. 691 -6166 Inspection Request Scheduled For: Date: 5/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 370 Plumbing rough -in 030129 -01 603-691-6166 N Corrections /Comments / Instructions: • p i\A • • n PASS 'I PARTIAL APPROVAL CANCEL .. ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: f !1v Date/ u ( Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: PLM2006-00'190 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/90006 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 �':�I_L. • INSPECTION WORKSHEET FOR DATE: 5111 /2006 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 09467 SW WASHINGTON SQUARE RD Al 1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: STARBUCKS DESCRIPTION: TI, replacement of existing fixtures. Other fixtures: 1 icernaket & 1 prirner. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: 5/1B/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 030120-01 503 - 691 -6166 N Corrections /Comments /Instructions: • • • ❑ PASS ❑ PARTIAL APPROVAL .CANCEL ❑ NO ACCESS • ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: � f Phone #: (503) 718 - / G