Permit . • v OF - �"� w CITY O1 TIGARD
PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2008 - 00038
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/31/2008
PARCEL: 1S12600-00300
SITE ADDRESS: 09569 SW WASHINGTON SQUARE RD B04 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: TRACK N TRAIL
Project Description: relocating existing fixtures
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS; 0 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2 URINALS: GREASE TRAPS:
LAVATORIES: 0 OTHER FIXTURES: 0
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner:
FEES
WASHINGTON SQUARE LLC D
BY THE MACERICH COMPANY Description Date Amount
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 1/31/2008 $72.50
TIGARD, OR 97223 [TAX] 12% State Surch 1/31/2008 $8.70
Phone : Total $81.20
Contractor:
CASCADE PLUMBING CO.
2630 N HAYDEN ISLAND DR SP #3
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 289 -7095
FAX 503- 283 -9514
Reg #: LIC 120893
PLM 34 -412PB
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 B, i �
� / Li / �_�;�_ � _ Permittee Signature: ��. � = r/�/f�Ca
!% jr-
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.
:Ian 31 2008 12:39PM CASCADE PLUMBING
Plumbina Permit Arrolici4ECEINIED
City of Tigard
___, 13125 SW Hall Blvd 'rig' ard ' OR 97223 0 A zOOsa Received
Datell : 5032839514 P . 1
1 7 -co ei9 '
I, ,,,, OH ICE l'S1' 0'11 1
-Alfra3. kV',
Pennit No.: a cv , _ c..„
Iiii .- , Phone: S03.639.4171 Fax: 503.598.0CM 0 i' Plan Review
Deten3y: mar Permit No.: 5i ett, 7 -0 if
• Inspection Line: 503.639.4175
Date Ready/By kali. V I See Pagel/0r
IG 1\RD Su plenu
. m:la Information,
Internet: www.tigard-orgov 0,.. , t. , , ,w.,...t. .. ,.., .Ncrt otho....oicii„ If.. „ ,,,s, , .,,.., ,„.a.....,_,,,-,-,...7,
r rifftW W -410 Merirr■LrAttSBANZ9V: e4 A V/ .14P" - :I kjihk . 4 ''
•• • my
0 New construction ' al 9 emolition
DCSIXI =SI Ea. Total
ition/alteration/replacement 0 Other: New 1. 2-family dwellings (includes 100 R. for each utility connection)
s7,9
4-'74
,.e , : , , ,, 0 SFR (1) bath 249.20
,-...
additional bath/kitchen Accessory building
i
\c Each 0 1- and 2-family dwelling
CI
0 Master builder Wortunercialfindustrial
0 Multi-family
0 Other:
Fire sprinkler ( SFR (2) bath
SFR (3) bath
ch th/kitchen __. sq. ft.) 350.00
399.00 --
45.00
Page 2
IA 4 L': : p.'" -7.,-.---,11 . 3 " ;4,,, li ve ti ,tc-w il o llre2r .-4 ,:tre t .V 1 `0, 4 1W'r,rt -- 7..r:,' .. 5 ?, , 1 4 t.•",t - , --12 11. T ; ,./. -A
, , 41 , 2 4 .AW.,-ikl".:A4 - kli;ili:‘,...4.4ase.vP Site utilities
4tr .
Job site address: 4 (3 64 5 ,"
I • •S9 • Catch basin or area drain 16.60
City/StatelZlP: 174 C
Drywell, leach line, or trench drain
16.60
-- a et
Footing drain (no. linear 11.: __) Page 2
1 Suite/bIdgiapt. no.: 1 Project name: rida,„ # 4) -f-r-a,; L
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear It: _j
Page 2
Storm sewer (no. linear ft.: _)
Page 2
Subdivision: Lot no.:
Water service (no. linear ft.: _) Page 2 1
I
44%h Fixture or item
Tax map/parcel no.:
16.60
N ...s. 3 ...„ : ,,,,, ,, c ? 7.37,,,,14,..:5:.....tcealpat,r57,,,,,ww,,n1Attvivr,71,v-- ,41,711-kurg-_--4St-p
----.) , Absorption valve
- ellgg . ' 4 ,4 -- " - CC'F 4- .` .'''''04- - y Baeltflow preventer Page 2
Backwater valve 16.60
117/1117 .„„arlimmilli
. . - - -.' - •-".
Clothes washer 16.60
Dishwasher 16.60
Dri
akin g fountain
, Li-r„,„1•_-"irck'lik;p",..;Nli•-9'''':',.'7.1.=•r,i7'IMP-tEgtkei,K Ii,.U, "Iii, .-- .. ''''','°'' -' EjectorS/SUMp
Mr.e.kff..V.;:f.:.. ■..Z.,'.;"1",l' • . , i nAt'z. x tq ,. I. ii ■ - •
Name: Expansion tank
Address:
Fixture/sewe .. 16.60
16.60
16.60
16.60
City/State/ZIP: Floor' i • .M 16.60 M
Qi
. spos
16.60
A' t
Phone: ( ) - , ( - ... ..). Garbag •
H bib ose
,:,. ki:0-‘ -: ..,3 - ,r latf 74 1,.)) - . .,..P, „, ,, 16 60
rig, 1 114;1240,,,,,....t.,,,-. . ' 1 e Al, k , •(.4,g ; 1, i $:1;5 i ma
16.60
Business name: Mr d i ALA s
Interceptor/grease trap 16.60
Contact name: Oill (.47 C Medical gas (value: $ ) Page 2
Address: „V‘ 30 A) • HCe ati i.A5 • /Die 4r3 Primer 16.60
City/State/ZIP; 4, .,. .. - 7 Roof drain (commercial) 16.60 plp
)
Phone: ( 40 Sink/basindavatory 1 i i A , 0 s ' A 3 KM 1660
, , •
-3) e9i1 -7C)5 Fax: : (503 ) - c i
Tub/shower/shower . •, 16.60
E-mail:
Urinal IIII 16.60
, .4 ,::... ..-„,*".„„:1 4,,..•TV:411,!.....i.
Feete 7.-., e. ' i 1 t1 ' ` Water closet
1:=EffraTijr_inglaiiMMVILMIRIII
& -r O 4 1
City/State/ZIP: su.... ' __...
(4.fia_i 0 I , 1
/ , .-1,4a.. Water heater
Other .
i 16,60
IIM
A u MUM 16
Address: 1011M
G in=
.4, .
Minimum permit foe: $72.50
(47 ' .
2.5
Phone: (w3) dirq - 2095 Fax: (5)3 ),?-8 114 Residential backflow minimum permit fee: $36.25 2- '
Plan review (25% of pemilt fee)
CCB Lie.: j X p Plumbing Lie. no.: Li -qi 2.4
State surcharge (12% of permit fee)
Authorized signature:
TOTAL PERMIT FEE V/
Print name: 1‘ c. p ?ie.& i Date: Vi ( This permit application expires if a permit is not obtained within
ISO days after it has been accepted as complete.
p6 A
tztAxe iet.„726 b methodology set by Tri-County Building Industry Service Board.
I %Buildme.Perrnits\PLM-ParmnApp.doc 06/26/)6 440.461 6 T( 1 0/02/COMAYEB )
CITY OF TIGARD --
BUILDING DIVISION PERMIT #: PLM200t3•00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/200t)
Phone: (503) 639 -4171 plil�
Inspection Requests (24 Hrs.): (503) 639 -4175 "__..
INSPECTION WORKSHEET FOR DATE: 316/20013 TIME: 7 :000AM PAGE: 10
SITE ADDRESS: 09569 SW WASHINGTON SQUARE RD B04 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRACK N TRAIL
DESCRIPTION: relocating existing fixtures
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 50289 -7095
Inspection Request Scheduled For: Date: 3/6/20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 066210 -01 952-297-7611 N
Corrections /Comments/ Instructions:
Can_ ' J ua 1 .e y■
Y 1, PASS 111 PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V u MNA`" Date: (c1(.., ` oz Phone #: (503) 718-
CITY OF TIGARD
i BUILDING DIVISION PERMIT #: PL.M2008 00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/200
Phone: (503) 639- 4171;��' i
Inspection Requests (24 Hrs.): (503) 639 -4175 ,�� I s
INSPECTION WORKSHEET FOR DATE: 2/8/2008 TIME: 7 :00AM PAGE: 20
SITE ADDRESS: 09669 SW WASHINGTON SQUARE RD B04 CLASS OF WORK: `
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRACK N TRAIL
DESCRIPTION: relocating existing fixtures
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR. CASCADE PLUMBING CO. PHONE #: 503.389-7O95
Inspection Request Scheduled For: Date: 202008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 064741 -01 503-289-7096 Y
Corrections /Comments /Instructions:
4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (Th \/ .,.l.A V \r-- Date: 2/WO T) Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM20t)3.00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/31/20(38
Phone: (503) 639 -4171
AA I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 714/2008 TIME: 7:18AM PAGE: 4
SITE ADDRESS: 09569 SW WASHINGTON SQUARE RD 004 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TRACK N TRAIL
DESCRIPTION: relocating existing fixtures
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: CASCADE PLUMBING CO. PHONE #: 503 - 289 -70%
Inspection Request Scheduled For: Date: 2M/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 064420 -0'1 &)3 -?89 -7095 Y
Corrections/Comments/Instructions:
\ PASS El PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ \ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (25 Date: 2 I 11)7) Phone #: (503) 718-