Permit CITY TIGARD PLUMBING PERMIT
I� DEVELOPMENT SERVICES PERMIT #: PLM2005 -00480
4.4 � �I DATE ISSUED: 10/18/2005
A--- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI, replacing (3) shampoo bowls and adding (1) color lab sink.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 0 BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS: 0 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 4 URINALS: GREASE TRAPS:
LAVATORIES: 0 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 0 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 10/18/200E $72.50
TIGARD, OR 97223 [PLMPLN] Plan Review 10/18/200E $18.13
Phone : [TAX] 8% State Surcharl 10/18/200E. $5.80
Total $96.43
Contractor:
BEAVERTON PLUMBING INC
13980 SW TUALATIN VALLEY HWY REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97005
Phone : 503- 643 -7619
Reg #: LIC 128892
PLM 34 -4PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: /�2-/ Permittee Signature
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Plumbing Permit App 4 ?, , i- 1'i� W � ) 1 ORS OFFICE FUSE ONLY ', ,
City of Tigard Received n ... ,LH0Oder� go
g Date/By .I � D��� Permit No s Z.�J
13125 SW Hall Blvd . Tigard, OR 97223 SEP 2 0 100 Plan Review
Phone 503 639 4171 Fax 503 598 1960 - 'Lilo �LJ O t h er P N I�0�4QQg T
'' T I I I Date/By ��� Z'7 -� � 16+PK'� d�V
24 Flour Inspection Line 503.639 4175 �.
and or us .', Date e d / Meth „/� / �`/`./__ tuns )1 7- S p l I
Pent 2 nr
Internet www ci tigard CITY OF TIGA `� � Notified /Method I Supplemental Information
TYPE$ 44MDMISION FEE* SCHEDULE 0
III New construction 111 Demolition For special /njormario« use checklist.
Description I Qty I Ea I Total
Z Addition /alteration/replacement III Other: New I- 2- family dwellings (includes 100 ft for each utility connection) U
1
CATEGORY OF CONSTRUCTION SFR (I) bath 249 20
❑ I - and 2- family dwelling Z Commercial /mdustnal SFR (2) bath 350 00
❑ Accessory building III Multi-family SFR (3) bath 399 00
❑ Master builder — Each additional bath /kitchen 45 00 . x
❑ Other
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION
Site utilities
Job site address 9510 SW WASIIINGTON SQUARE ROAD Catch basin or area drain 16 60
City /State /ZIP FIGARD, OR 97223 Drywell, leach line, or trench drain 16 60
Suite /bldg. /apt no . H01 Protect name REGIS Footing drain (no linear ft ) Page 2
Manufactured home utilities 110 00
Cross street/directions to job site SW HALL BLVD & GREENBURG RD. IIYW 217
Manholes 16 60
Rain drain connector 16 60
, Sanitary sewer (no linear ft ) Page 2
Storm sewer (no linear ft ) Page 2
1111i .
Subdivision WASHINGTON SQUARE Lot no.. Water service (no linear 11 ) Page 2
Fixture or item \
fax map /parcel no.: Absorption valve 16 60
DESCRIPTION OF WORK Backllow preventer Page 2
REMODEL/EXPANSION OF EXISTING REGIS HAIR SALON Backwater valve 16 60
MUCH OF PLUMBING IS EXISTING/TO REMAIN - PLEASE SEE MP -I FOR Clothes washer 16 60
BETA .S Dishwasher 16 60
❑ PROPERTY OWNER Drinking fountain 16 60
® TENANT'
Electors /sump 16 60
Name: REGIS CORPORATION
Expansion tank 16 60
Address 7201 METRO BLVD Fixture /sewer cap 16 60
City /State /ZIP MIINEAPOLIS, MN 55439 Floor drain /floor sink /hub 16 60
Phone- (952)947.7777 Fax. (952)995.3347 Garbage disposal 16 60
® APPLICANT Hose bib I6 60
® CONTACT PERSON
Ice maker 16 60
Business name. COMMERCIAL PERMITS, INC. Interceptor /grease trap 16 60
Contact name: BRIGITTE ARMS Medical gas (value $ ) Page 2
Address: 2620 63 STREET Primer 16 60
City /State /ZIP FEN'NVILLE, MI 49408 Roof dram (commercial) 1660
Su 1k asin /lavatory y 16 60
Phone (269) 561.7284 Fax (269) 561.7285
Tub /shower /shower pan 16 60
E-mail brigitte @starband.nel Urinal 16 60
�j
CONTRACTOR Water closet 16 60
Business name TBD 6 pb , „,„ "P Water heater 16 60
Address. .39 go 5 �, ✓. � 4 Other.
J / . p1 faL_ Subtotal
City /State /Ill'� (J • J Minimum permit fee $72 50 �
S C.0 Pi a(
Phone ) /� � Fax: ( ) Residential backllow minimum permit fee $36 25
CC13 Lie y11 Plumbing Lie no. 5c1,--q/-13 Plan review (25 %ofpcnnn lee) �g. /
l State surcharge (8% of permit fee) 6. ifo
Authorized signature:
-'� / TOTAL PERMIT FEE 96,
int name �..� 44..,.Q� Date `di /Qg This permit application expires if a permit is not obtained within Li s
111111//////��I��I ��\��\ !!! 180 days after it has been accepted as complete.
*Fee methodology set by Tn- County Building Industry Service Board
i AnwldmgVPcrmu,APL51 -Pei mnApp doe 06/05 440 - 4616x(10 /02 /COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005- 004811
13125 SW Hall Blvd., Tigard, OR 97223 ` DATE ISSUED: 10/1812005
Phone: (503) 639 -4171 i l l '
Inspection Requests (24 Hrs.): (503) 639 -4175 "_...
INSPECTION WORKSHEET FOR DATE: /2115/2005 TIME: 7:04AM - PAGE: 76
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: REGIS
DESCRIPTION: TI, replacing (3) shampoo bowls and adding (1) color lab sink.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: BEAVER TON PLUMBING INC PHONE #: 603-643 -7619
Inspection Request Scheduled For: Date:. 12/1E3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 023513 -01 503. 643.7619 N
Corrections /Comments/ Instructions:
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4 ”, 14V7)1PO. 7424
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gy PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
F IL IN CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r / k \_ Date: /2/0/p Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION . ' PERMIT #: PLM2005- 00180
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 LL
INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 25
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: REGIS
DESCRIPTION: TI, replacing (3) shampoo bowls and adding (1) color lab sink.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503. 613.7619
Inspection Request Scheduled For: Date: 11/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
. 320 Plumbing rough -in 020393-01 503 -643 -7619 Y
Corrections /Comments/ Instructions:
-G1s --&
$PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V 625 Inspector: o "� Date:/) Phone #: (503) 718-
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005- 00480
13125 SW Hall Blvd., Tigard, OR 97223 "' DATE ISSUED: 10/18/2005
Phone: (503) 639 -4171 , ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 1. .
INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 81
SITE ADDRESS: 08510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: REGIS
DESCRIPTION: TI, replacing (3) shampoo bowls and adding (1) color lab sink.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: BEAVERTON PLUMBING INC PHONE #: 503- 643-7619
Inspection Request Scheduled For: Date: 10/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 018981 -01 503- 643.7619 N
Corrections /Comments/ Instructions:
%PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: d1 ) Date: J bi'24 I b c Phone #: (503) 718-