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Permit C ITY OF TIGARD - PLUMBING PERMIT COMMUNITY DEVELOPMENT PERMIT #: PLM2008 -00372 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/19/2008 PARCEL: 1S12600-00300 SITE ADDRESS: 09487 SW WASHINGTON SQUARE RD A05 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: MRS FIELDS COOKIES Project Description: Plumbing TI - all new additional fixtures. Other fixture: (1) ice machine. 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: 2 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 1 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 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 9/19/2008 $212.40 TIGARD; OR' 97223 [TAX] 12% State Surch 9/19/2008 $25.49 Phone : Total $237.89 Contractor: MODERN PLUMBING INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS TI 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 rul r direct q tion to OUNC by calling 503.246.6699 or 1 800.332.2344. Iss ed By: k ((�� Permittee Signature: it, "/A1 y e , 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. Sep. 19. 2008 11:38AM Modern Plumbing No. 5559 P. 2 Plumbing Permit Application Site Utilities I (1k OI:I I( 1: I ` ()NI 1 City of Tigard Received /9 0 r Permrc ° t/1,001-110,) 7 3- IN • 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review a Phone 503.639 4171 Fax. 503.598.1960 y Other Permit No,; � � �/ ` f Inspection Line 503.639 4175 /D S or � ric Date Rea r dY Y e Internet www.tigard -or gov NoUSed/Ma hod: �j Supp P ementa lafarmadon . TYPE OF WORK FEE* SCHEDULE — 0 New construction ❑ Demolition For specialln /ornurtlon use checklist Description I Qty I Ea 1 Total ® Addition/alteration/replacement ❑ Other. _ New 1- 2 -fatally dwellings (includes 100 ft for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 0 1- and 2 4amily dwelling ® Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath — 399 00 - Each additional bath/krtchen 45 00 ❑ Master builder ❑ Other: Fire sprinkler (_ sq. R.) Page 2 — JOB SITE INFORMATION AM) LOCATION Site utilities Job site address: 9437 SW Washington Sq. Road Catch basin Or area dram _ 16 60 City/Stare/ZIP: Tigard, OR 97223 Drywell- leach line, or trench drain 16 60 Suite/bldg /apt. no.: Project name: Mrs. Fields Cookies Footing drain (no, linear ft Page 2 Manufactured home utilities 110 00 Cross street/directions to job site Washington Square Mall Manholes 16 60 Rain dram connector 16.60 Sanitary sewer (no linear ft : Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: — I Lot no Water service (no. linear ft . ) Page 2 Tax map/parcel no.. IS12.6300 Fixture or item Absorption valve 1660 DESCRIPTION OP WORK Baekflow premier / I i Page 2 4 ( W 0 Tenant improvement of suite AS including plumbing and electrical Backwater valve 16 60 Clothes washer 16 60 Dishwasher 16 60 0 PROPERTY OWNER ! 0 TENANT - banking fountain 16 60 Ejectors/sump 16.60 Name. Robert Silvestro _ Expansion tank 16,60 Address. 15313 S. Clear View Loop Fixture/sewer cap 16 60 City/State/ZIP: Kennewick, WA 99338 Floor drain/floor sink/hub .4 ,1 9. 16 60 6 (, ti () Phone: (509)855 -6522 Fax. ( ) Garbage disposal 16 60 ❑ APPLICANT 0 CONTACT PERSON Hose bib 16 60 Ice maker I 16 60 I (p C. 0 Business name: Chebalem Diversified, Inc. Interceptor /grease trap 1660 Contact name. Scott Steckley _ Medical gas (value' $ _ Page 2 Address: 2207 Portland Rd., Ste B Primer 16.60 City/State/ZIP: Newberg, OR 97132 -1371 Roof drain (commercial) 16,60 Phone. (503) 538 -0337 Fax: - (503) 538 -0569 Sink/basin/lavatory a -+ 2-5 �. 16 60 6(. if p Tub /shower/shower pan 1660 E-mail: stecldeys@callcdLnet Urinal 16.60 CONTRACTOR Water closet 16 60 Business name' .TB9 1 to IA e 1<' n P1 u t ,.,,(.p tr% °1 (�, Water heater i 16 60 (e Address t 11 to 9 tr ,7 I. v U 5t f C 1./0 _ _Other Subtotal a.l ). "I City/State/ZIP: i LA. a k 011 F' r C] (2_ el 7 (G 2_ Minimum permit fee $72 50 Phone' (u3) ( r , 9 I (C I (o L , Pax ($'t)3) (A , I Co 7 / Residential bac:ktlow minimum permit fee $36 25 CCB Lic.: S 1 c ikco Plumbing Lic no.: 3 Li, 2-5 Q P43 Plan review (25% of permit fee) Authorized signature J State surcharge (12% of permit fee) L5 qty rw ��' TOTAL PERMIT FEE 2_37 $ Pratt name' {� U t (C)O ro. L e_. i 7 6 e eD r d , Date . / 9 [) c — This permit application expires if a permit is not obtained withi 180 days after it has been accepted as complete. 'Fee methodology net by Tn- County Building Industry Service Board 1,12wtdmg'Permits\PLMU- PenmiApp Out 12127/06 440-4616T(10/021C0.t/WEB) CITY OF TIGARD - BUILDING DIVISION PERMIT #: PLM2008.00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/19/2008 Phone: (503) 639 -4171 A' o Inspection Requests (24 Hrs.): (503) 639 -4175 42: I INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7 :02AM PAGE: 5 SITE ADDRESS: 09487 SW WASHINGTON SQUARE RD A06 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MRS FIELDS COOKIES DESCRIPTION: Plumbing TI - all new additional fixtures. Other fixture: (1) ice machine. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 543. 691 -6166 Inspection Request Scheduled For: Date: 11/7/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 077832 -01 503 -691 -6166 Y Corrections /Comments /Instructions: CA IOC-- , X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Q1\eve. A» AM.. - Date: 1 \ \-) \ 3 T Phone #: (503) 718- CITY OF TIGARD l BUILDING DIVISION PERMIT #: PLM200B-00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9119/2008 Phone: (503) 639- 4171 d __ Inspection Requests (24 Hrs.): (503) 639 -4175 .. &.. "'' INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7 :00AM PAGE: 43 SITE ADDRESS: 09487 SW WASHINGTON SQUARE RD A05 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: MRS FIELDS COOKIES DESCRIPTION: Plumbing TI - all new additional fixtures. Other fixture: (1) ice machine. OWNER: WASHINGTON SQUARE LLC, PHONE #: 1 CONTRACTOR: MODERN PLUMBING PHONE #: 503. 69 -6166 Inspection Request Scheduled For: Date: 11/612008 Pour Time: Code # Inspection Description Confirm # Contact # Me ..9: 399 Plumbing final 077719-02 503 - 691 -6166 Y Corrections /Comments /Instructions: , _s JJ C . 4 1 —Cotk__ -2'‘..-1,—ii_, A l'r■i 6c- - it � i ,.c__ L ‘4 1.4.4 \-.,14.4._., 4-.4...-2----.4 4 c■-■-■Z IC C-.- I s 7- / 1 k. ❑ PAS' 6 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - kJ 6 �� Date: PO / 0 ° Phone #: (503) 718 - 2-143/4 CITY OF TIGARD • BUILDING DIVISION PERMIT #: pLIN2009 QU372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9119120013 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 1013120013 TIME: 7:0011M 17 17 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 09181 SW WASHINGTON SQUARE RD /I 9* #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE DESCRIPTION: MRS FIELDS COOKIES Plumbing TI all new 'additional fixtures. Other fixture: (1) ice machine. OWNER: PHONE #: CONTRACTOR: WASHINGTON SQUARE LLC, MODERN PLUMBING PHONE #• 503_691-6166 Inspection Request 'Scheduled For: Date: 1013/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 076273-01 503- 691 -6166 Y Corrections /Comments /Instructions: • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • InspectorO/Vm,../V Date:\ O \3\ Phone #: (503) 718 - , CITY OF TIGARD BUILDING DIVISION. , PERMIT #: PI 2008- 00372 13125 SW Hall Blvd., Tigard, OR 97223' „� DATE ISSUED: 8//912000 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/29/20U8 TIME: 7 :02AM PAGE 40 SITE ADDRESS: 09487 SW WASHINGTON SQUARE RD A0 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE L T #: TYPE OF USE: PROJECT NAME: MRS € IELDS COOKIES DESCRIPTION: Plumbing TI - all new additional fixtures. Other fixture: (1) ice machine. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MODERN PLUMBING PHONE #: 503 Inspection Request Scheduled For: Date: 9/29,12008 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing underslab 070012 -01 . 503 - 631 -6166 N Corrections /Comments /Instructions: • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ar A. \ 1 tea. Date: 01'\ \ cm Phone #: (503) 718- • CITY OF TIGARD a . BUILDING DIVISION PERMIT #: PLM2008 -00372 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9l26/ ?008 TIME: 7:0t)AM PAGE 9 SITE ADDRESS: ' CLASS OF WORK: 09187 MA/WASHINGTON SQUARE RD A0; L O SUBDIVISION: WASHINGTON SQUARE T #: TYPE OF USE: PROJECT NAME: MRS FIELDS COOKIES DESCRIPTION: Plumbing TI - all new additional fixtures. Other fixture: (1) ice machine. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MODERN PLUMBING 503-691-6166 #: 503-691 -6166 Inspection Request Scheduled For: Date: 91261 X008 Pour Time: Code #' Inspection Description Confirm # Contact # Message 395 Misc. inspection 075984 -01 503.691 -6166 Y Corrections/Comments/Instructions: C O vt r✓s-e., k ` L e In /� a. �1�.,1 �..Q . ,— �J !�/`G�,�..�� �- (,J1' �'� t� �..re ��`�` --e✓ 1� Ove.- ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \1./UA✓ ∎\ Date: ! ` 7 Co I O'C' Phone #: (503) 718- , •� '.'1 .F ,