Permit v � r
u CITY OF TIGARD PLUMBING PERMIT
• COMMUNITY DEVELOPMENT PE COMMUNITY PLM2007 -00165
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/26/2007 PARCEL: 1S12600 -00300
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: TRADE SECRET
Project Description: TI - demo (3) shampoo bowls, add (1) shampoo bowl, (1) clothes washer & (1) 2" drain, relocate
(1) water heater.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 4 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WASHINGTON SQUARE LLC
BY THE MACERICH COMPANY Description Date Amount
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 4/26/2007 $116.20
TIGARD, OR 97223 [TAX] 8% State Surcharl 4/26/2007 $9.30
Phone : Total $125.50
Contractor:
ANCTIL PLUMBING INC
16900 SW MERLO RD
BEAVERTON, OR 97008 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 642 -7323
FAX 503- 642 -7755
Reg #: LIC 24184
PLM 26 -162PB
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 riles 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 c. ing 503.246.6699 or 1.800.332.2344.
/ /
Issue. By: LLL.4 P er mittee Signatu • : p • /�� 4 ( ;
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.
! !r I . 007 02:18P FROM:ANCTIL PLUMBING 5036427755 TO:5035981960 P.2
Ut C>O1' larY/yl -f # u? ZOOG OOd (o
Plumbing etmit _ It
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City of Tigard ; 1 • " ,;.,j �� ' r - 5
Dale/By ' 2 3 01 n No.: e.l`/RO 7-
13125 SW Hall Blvd., Tigard, OR 97223 �� 6
Plan Review 1 /J7 - 2/09n
Phone: 303.639.4171 Fax: 503.398.1960 Datdny Cher Permit No.: CC�I ° /
24- 4175 639
Inspection Line: 503
Hour 503.639.4175 .� Data Ready/13y m�. la See Page 2 far
Internet: wwl.vri d-or_ APR 2 3 X00 _ �.:!1
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❑ New construction 4 T17 Inn " 11PDfitOI 7Th For :pedal Information use ekcekllsr.
Description I Qty. I Ea. I laddition/alterationlreplacement ❑ Other: New 1 -2- family dwelllaga (includes 100 R. for each utility connection)
.1 , 4 7mP u Y.:' '! ;4... .y.,k wit - P!' '
GTEGORY�OP F !`?ON517 IUC1'101��`.��„�, � • .' +- SFR (1)66th 249.20
❑ 1- and 2 -famiy dwelling ommescial /industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi- family SFR (3) bath 399.00
❑ Master builder Each additional bath/kitchen 45.00
❑ Od a. Fires sprinkler IL) Page 2
"'a' - A - ' a' �'r • - ".too SITE' W FORMATION AlYD IQCA7'tON' '+ t { C? : j, ",i. Pil C_ _. stn
1 ,^ Site utilities
_ t9
Job site address: 70 O J titJ- f //..aIZ)b) ,c) ie� Catch basin or area drain 16.60
City/State/ZIP: r Dryweil, leach line, or trench drain 16.60
Footing drain (no. linear ft.: _� Page 2
Suite/bldg. /apt. no.:� O1 I Project name: TrAtDE S �G ✓E'f'S
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear R: _ Page 2
Storm sewer (no. linear IL: ) Page 2
t
aer service ( linear IL: )
ce no. near : age
Subdivision: l Lot no.: W - P 2
l5 , 9 „ v _
Tat map/parcel no.: 10 Y Fixture or Item Absorption valve 16.60
` DESCRIPTION OF WORK r . ,-r!' • ^ Back dow preventer Page 2
'Dew 5 Ji iap 3 - - botAks d Aai) 1 /JEW Backwater valve 16.60
Suers° �i�C. t ` w , I �l Clothes washer -> 1 16.60 / `!
w ,t- ADO & -ii P �, A - N { _ - - Dishwasher 16.60
!b` Drinking fountain 16.60
❑ PROPERTY O4NER - . I
. -:.. r � g:,0 TENANT
Ejectors/sump 16.60
Name: Expansion lank 16.60
Address: Fixture/sewer cap 3 _ 16.60 V? S )
City/State/ZIP: Floor drain/floor sink/hub -----lp r 16.60 A / Cy. t /_ �
Phone: ( ) Fax: (r ) Garbage disposal 16.60
❑ APPLICANT f " ' ' ' ' • • 0] CONTACT - PERSON • • Nose bib 16.60
Ice maker 16.60
Business name:
. Interceptor /grease trap 16.60
Contact name: Medial gas (value: S ) Page 2
Address: Primer 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) I Fax: : ( ) ' Sink/basin/lavatory - ' / 16.60 / (.. Go
Tub/shower/shower pan 16.60
E-mail. Urinal 16.60
/� , CONTRACTOR Water closet 16.60
A
Business name: /°C 4).C- f 9 l Lfm - g I A. jj .w c, Water heater / 16.60 l 4'O
Address: ( t10 • $ w ill dG eg C.o R. oJ Other:
City /City/State/ZIP: :
c9 q j p Subtotal
- / � Minimum permit fee: 572.50 J e. 0
Phone: �3) (, toZ- 7323 Fax: (5b3 (: Liz. S Residential backliow minimum permit fee: 536.25 !! t4'
CCB Lie.: ZCj / $ q Plumbing Lie. no.: _ C o - I �'t Plan review (25% of permit fee) -tom'
1 State surcharge (8% of permit fee) 9 . i)
Authorized signature: le-- le-- - TOTAL PERMIT FEE /96
Print name: I/ 0/y1 d C tS ` Date: - -O Thb permit application expires If a permit Is not obtained within
180 days alter It boa bee■ accepted as complete.
°Fee methodology set by Tri- County Building Industry Service Board.
I\ Building \PamiuWU.l•PenitApp.doe 121/03 440-4616T(I(1/02/COM/WEB)
P CITY OF TIGARD 2 ^1
'BUILDING DIVISION � PIA-42 # O� /' 0 b) ��
13125 SW Hall Blvd., Tigard, OR 97223 , I , DATE ISSUED:
.Phone: (503) 639 -4171 a�4p�i�,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5 Its/ 0 ) TIME: PAGE:
SITE ADDRESS: vJ 5 it VUa l/VI 4 S(4 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: T2&& lsv
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
VI lit vv) bttn 4 t< �i -
Corrections /Comments/ Instructions:
V) "I
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,;
Irv),
t Ali
"As
•
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/PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V " �^ Date: CA- �� /4 -7 Phone #: (503) 718-2-1/412-g
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00165
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007
Phone: (503) 639 -4171 t�
Inspection Requests (24 Hrs.): (503) 639 -4175 -.:._ "�!J.
INSPECTION WORKSHEET FOR DATE: 5/7/2007 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRADE SECRET
DESCRIPTION: TI - demo (3) shampoo bowls, add (1) shampoo bowl, (1) clothes washer & (1) 2" drain, relocate (1)
/ water heater.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANCTIL PLUMBING INC PHONE #: 503-642.7323
Inspection Request Scheduled For: Date: 5/7/2007 Pour Time:
Code # Inspection Description / #� Contact # Message
320 Plumbing rough -in 047729 \ 503.642 -7323 Y
Corrections /Comments /Instructions: , I ,M,p v
\________----/ PCo r®(. �M ► N i nk vrv\ 1 `` 6E: 'Jt 7 .
u
W Al L s oK It) c-cJ .
Rai ` k �,
2 tkcim,\L v'j
I I PASS XPARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-1, N%L Date: bl Q Phone #: (503) 718-
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00165
13125 SW Hall Blvd., Tigard, OR 97223 ; DATE ISSUED: 4/2(12007
Phone: (503) 639 -4171 . ��In
Inspection Requests (24 Hrs.): (503) 639 -4175 sue! °
___..
INSPECTION WORKSHEET FOR DATE: 5/4 /2007 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 09510 SW WASHINGTON.SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRADE SECRET
DESCRIPTION: TI ,. demo (3) shampoo bowls, add (1) shampoo bowl, (1) clothes washer & (1) 2" drain, relocate (1)
water heater.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANCTIL PLUMBING INC PHONE #: 503 - 642-7323
Inspection Request Scheduled For: Date: 5/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 047652 -01 503 - 642 -7323 Y
8WL
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL CANCEL _ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cry / Date: I W Q Phone #: (503) 718 - 1.
s
CITY OF TIGARD
BUILDING DIVISION � PERMIT #: PLM2007 -00165
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/20/2007
Phone: (503) 639 -4171 . � • Inspection Requests (24 Hrs.): (503) 639 -4175 - s' °
INSPECTION WORKSHEET FOR DATE: 4/30/2007 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRADE SECRET
DESCRIPTION: TI - demo (3) shampoo bowls, add (1) shampoo bowl, (1) clothes washer & (1) 2" drain, relocate (1)
water heater.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANCTIL PLUMBING INC PHONE #: 503 - 642.7323
Inspection Request Scheduled For: Date: 4/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 047351 -01 503-642 -7323 Y
Corrections/Comments/Instructions:
•
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 i t " '`"'--. Date: y136 ) Phone #: (503) 718-