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Permit . CITY OF TIGARD PLUMBING PERMIT PERMIT #: PLM2000 -00255 , o�� �; DEVELOPMENT SERVICES � DATE ISSUED: 7/6/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09612 SW WASHINGTON SQUARE RD G -2 PARCEL: 1S126C0 -01107 SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: M FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replacement of 3 plumbing fixtures with like kind. One lavatory, one water closet and one water heater. No change in EDU's. FEES Owner: Type By Date Amount Receipt PPR WASHINGTON SQUARE LLC PRMT DEB 7/6/00 $50.00 0003454 BY THE MACERICH COMPANY 5PCT DEB 7/6/00 $4.00 0003454 ATTN: JANET FISHER, ASSET MGNT SANTA MONICA, CA 90407 Total $54.00 Phone 1: Contractor: MODERN PLUMBING 11120 SW INDUSTRIAL WAY TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone 1: 691 -6166 Top -out Insp Reg #: LIC 87906 Final Inspection PLM 34 -250PB \ P N . S CS CL 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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. ill Issued , ,,..: ; I. � / �_� .0 "� _�� Permittee Signature: ij�J )0 ,L-/ Call (503 639 -4175 by 7:00 P.M. for an inspection needed the next bus'ness day CITY OF�'IGARD pl_M 2a� ®_ � 2 P lumbin Permit Application - - ^� � ., Plumbing PP Plan Check , 13125 SW HALL BLVD. Commercial and Residential Recd By _ V :.� J TIGARD, OR 97223 Date - . 1' '., 0 (503) 639 -4171 Date to ". _ Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit # Related SWR # Called Name of Development/Project FIXTURES' :(individual) ' , ',:_, : 2 QT•i, - PRICE 'AMT: Job Sink 9.00 Address Street Address S uite Lavatory / 9.00 9. 00 96/2 SW W! Sh,kic ton S8 f� `Z Tub or Tub /Shower Comb. 9.00 Bldg # City /State u Zip Shower Only 9.00 Name -7-/64e./) Water Closet I 9.00 9 Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 Washing Machine 9.00 City /State Zip Phone Floor Drain /Floor Sink 2" 9.00 / Name 3" 9.00 C�/ca QG'C,eJscje /es, 4" 9.00 Occupant Mailing Address Suite Water Heater 0 conversion • like kind 9.00 Gas piping requires a separate mechanical permit i 9 oo City /State Zip Phone Laundry Room Tray 9.00 Urinal 9.00 Name /2W)Lise_41) i e b /.--) 3/ Other Fixtures (Specify) 9.00 Contractor Mailing Address Suite 9.00 // /8 3W 2 raisin 1 9.00 %1 Prior to permit City /State Zip Phone Sewer - 1st 100' 30.00 issuance, a copy 71fil,4fiw) U� �I)d(o2 t2 -6016,(4, ""11 Sewer -each additional 100' 25.00 of all licenses are Orego onst. Cont. Board Lic.# Exp. Date required if Y79 0 W / a -CO Water Service - 1st 100' 30.00 expired in COT Plumbing Lic. # w Exp. Date Water Service - each additional 200' 25.00 database d[J " c250 P8 / - CO Storm & Rain Drain - 1st 100' 30.00 Name Storm & Rain Drain - each additional 100' 25.00 Architect Mobile Home Space 25.00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Engineer City /State Zip Phone Residential Backflow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) New 0 Repair 0 Replace with like kind: Yes 0 No 0 Any Trap or Waste Not Connected to a Fixture 9.00 Residential 0 Commercial 0 - Catch Basin 9.00 Additional description of work: 4 4 /01 3't, E., Insp of Existing Plumbing 40.00 P d. W 'e'j OO per /hr Specially Requested Inspections 40.00 per/hr Rain Drain, single family dwelling 30.00 Are you capping, moving or replacing any fixtures? Yes • No O Grease Traps 9.00 If yes, see back of form to indicate work performed by QUANTITY TOTAL . ' fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required if Quantity Total is > 9 3 , WORK COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL ` I hereby acknowledge that I have read this application, that the information _ 7,1. given is correct, that I am the owner or authorized agent of the owner, and 5% SURCHARGE . • that pla• • submitted are in corn I' with Oregon State Laws. Sig of Owner /Agent /� / D , ate l - �,� ) **PLAN REVIEW 25% OF SUBTOTAL Cwt, � / � ( OIL �v Required only if fixture qty total is > 9 o _ TOTAL Con . ct Person Name Phone . 1T.7' D /ai)e OE �/ _ i 9 / - / / � • Minimum permit fee is $25 + 5% surcharge, except Residential Backflow •f� v (Qy� Prevention Device, which is $15 + 5% surcharge "All New Commercial Buildings require plans with isometric or riser diagram and plan review 1: dststplumapp.doc 7t2/98 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed /Capped Sink Lavatory / Tub or Tub /Shower Combination Shower Only Water Closet J Dishwasher Garbage Disposal Washing Machine Floor Drain /Floor Sink 2" 3" 4" Water Heater / Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: • I.ldstslplumapp doc 7/7/98 CITY OF TIGARD BUILDING INSPECTION DIVISION - MST _ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 2 — 7 AM PM BLD Location 9 2 / Z— 1.414 $4 5/J Suite MEC Contact Person /yl 4 k7 Ph Cf G( PLM ov 2 ] Contractor • Ph • SWR BUILDING Ten ant /Owner ELC Retaining Wall ELR Footing Access: /' �+� Ftg Drain Foundation C /-�a1R t H � Cc5Crrr- FPS g Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ,4(41e_ = ✓,� Roof i Misc: Final �iC,rJ PASS T FAIL UMBING os Beam - wimp op Ou / aL* i " "a er Service _ Sanitary Sewer Rain Drains Eg ia PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final _ PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date (( S Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION !!� 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST 1�0 U BUP /. F Date Requested AM PM �C' BLD Location ?/,0. 5't) GO-so 12.-J) Suite MEC Contact Person ,6/,i/ Ph b4/ &016 PLM Ae70 —hDaZ_ Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear • Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling I • % � — Roof A ��, Fina Final PASS PART FAIL Post & Beam • Under Slab Top Out Water Service Sanitary Sewer Rain Drains PASS PART MECHANICAL Post & Beam Rough In • Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date Inspector /G7 1L Ext / Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION • MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7 -f( AM PM BLD Location g I fi fZ 5 c✓ ci}u S `l 5 Suite MEC Contact Person m4 k7 . Ph ‘7/- f /' 6 PLM P - " aj 5 Contractor • Ph SWR BUILDING Tenant/Owner • ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam • Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing --2>7/1-7e-( / Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUM I ost & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains • ice% 4 . PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In • UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA ` 0 Approach /Sidewalk ) ' /M Other Date ! u Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.