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Permit CITY Ti RD PLUMBING PERMIT _ I" DEVELOPMENT SERVICES PERMIT #: PLM2C06 -00098 ;�•�I{k' DATE ISSUED: 2/17/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 -o39 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09625 SW WASHINGTON SQUARE RD FC -1 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Remodel food court space.others 1 primer,lbackflow,lhose bib CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS; 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 5 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 3 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Owner: FEES WASHINGTON SQUARE LLC Description Date Amount I BY THE MACERICH COMPANY —I 9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 2/17/2006 $195.80 TIGARD, OR 97223 [PLMPLN] Plan Review 2/17/2006 $48.95 Phone : [TAX] 8% State Surcharl 2/17/2006 $15.66 Total $260.41 1 Contractor: b ISLAND MECPANICAL INC PO BOX 17264 REQUIRED ITEMS AND REPORTS 7 PORTLAND. OR 97217 Y 0 Contact # : PRI 503-285-8510 / FAX 503- 285 -0012 Vi_ Reg #: LIC 64254 0 Pi-MM 26 -234PB U 0 I � Cti • 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 qu- ons to OUNC by callirg 503- 246 -5699 or 1- 800 -332 -2344. Issued By: --- 7/7, ,,t-el ;` /�� ) Permittee Signatu ..• 4 4 ," LI 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. _1 Inspections Required for: p 2 006 Opole ✓ Code I Inspection Description I PASS Date I By I I ✓ Code I Inspection Description I PASS Date I By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground/slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post/beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall • 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage I _ 260 Tilt -up panel _ 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing MEC - Mechanical Permit 810 MFG- Structure set -up 605 Post/beam mechanical 280 Insulation 610 Gas line 285 Drywall nailing 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: _ 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in )305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 0 ><320 Plumbing rough -in 998 Alarm final 322 Shower pan • 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing x399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building\Inspection Cards \Forms\AOP- InspCard- Blank.doc 12/09/2005 CITY OF TIGARD i r BUILDING DIVISION PERMIT #: PI-M2006,0.9098 13125.SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -m- 112(03 Phone: (503) 639 -4171 I. 1 i Inspection Requests (24 Hrs.): (503) 639 -4175 s n'!+� !J_ INSPECTION WORKSHEET FOR DATE: TIME: P AGE: 2/21/2006 �:lj2AM 77 SITE ADDRESS: 09625 SW WASHINGTON SQUARE RD FC -1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SARI:U JAPAN DESCRIPTION: Remodel food court :pace.others 1 primer,lback;low,lhose bib OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ISLAND MECHANICAL INC PHONE #: r03...2 .0610 Inspection Request Scheduled For: Date: 2/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 027213 -01 503-- 285.8510 Y Corrections/Comments/Instructions: k U bv-rt .-- 6 , 0' Cr iti_PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ; Yv Date: '" fig Phone #: (503) 718- 91 ' CITY OF TIGARD BUILDING DIVISION PERMIT # • PLM2006•00C(i8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2117/200G I Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 sag- '1,-. INSPECTION WORKSHEET FOR DATE: 2/23/2006 TIME: 7:01AM PAGE: 67 SITE ADDRESS: 09625 SW WASHINGTON SQUARE RD FC-1 CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SARKU JAPAN DESCRIPTION: Remodel food court space.ot.hers 1 primer,lbackflow,lhoce bib OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: ISLAND MECHANICAL INC PHONE #: 503 Inspection Request Scheduled For: Date: 3123/2Q(6 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 027407 -01 503- 205.8510 N Corrections /Comments/ Instructions: 0 • / Af Adu. __, fij-°-• st,_vi,e/t,7----,- / i 4 ■e- -c ' ■ - / ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G Date: - Phone #: (503) 718 - F CITY OF TIGARD p L v p BUILDING DIVISION ~ PERMIT #: Z - o4o d 7O 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 9 ( W 4 ` 3 6 ' " tp' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - 3 - CJ' Pour Time: Code # Inspection Description , Confirm # Contact # Message 3 - 2_ 0 Li 2_ 2 - 9 735 Corrections /Comments /I structions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 7///1{ Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION N. r' PERMIT #: Pb v1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 'I L. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 1 i SITE ADDRESS:4 5 WAS 4 S cy k CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #:CSD3)0: g CONTRACTOR: I i YYI PHONE #: Inspection Request Scheduled For: Date: 3 - - C) Pour Time: Code # Inspection Description C nfirm # Contact # Message 399 eLc i N pm Corrections /Comments /Instructions: (6d _P C v y fi ff 71,) l i r ' / ■1!./, _ # Agir■ _ .40 ,_ _ /..., MIFMIIIIIIII / f" / et" / • . i - ..‘f ii. PASS 1 ARTIAL APPROVAL CANCEL 0 NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: On 1 � Date: ' / Phone #: (503) 718- CITY OF TIGARD 00 BUILDING DIVISION PERMIT #:a 0 ° �0 ` O 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,_• 11 1 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 9 as U) / ► CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: i - _ PHONE #: Inspection Request Scheduled For: Date: 3 —Z o – d Pour Time: Code # Inspection Description Confirm # Contact # Message 3 59 /a - 73 Corrections /Comments /Instructions: 4 p MIN _ , PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 17 74( i Date: / L O b Phone #: (503) 718 .> �* ^ C ITY OF TIGARD PLUMBING PERMIT I k DEVELOPMENT SERVICES PERMIT #: PLM2006 -00098 �I I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/17/2006 PARCEL: 1S12600-00300 SITE ADDRESS: 09625 SW WASHINGTON SQUARE RD FC -1 ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: Remodel food court space.others 1 primer,lbackflow,lhose bib CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 5 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 3 TUB /SHOWERS: SEWER LINE: ft WATER CLOSETS: 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 2/17/2006 $195.80 TIGARD, OR 97223 [PLMPLN] Plan Review 2/17/2006 $48.95 Phone : [TAX] 8% State Surcharl 2/17/2006 $15.66 Total $260.41 Contractor: ISLAND MECHANICAL INC PO BOX 17264 REQUIRED ITEMS AND REPORTS PORTLAND, OR 97217 Contact # : PRI 503- 285 -8510 FAX 503- 285 -0012 Reg #: LIC 64254 PLM 26 -234PB • 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 qu- 'ons to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: 1 ,j Permittee Signatu � ��,� _/ �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. °jc 2_( I-0 . .E -e.-Se , Buildiv Fixtures .r - G I V E F i Plumbi7Ig Permit Application - t volt OFFICE USE ONLY City of Tigard ftB 1. 6 2011 RDeceiat ?- /ce _ 0 6 , /}�.�'�L PennilNoo o n 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / �l Phone: 503.639.4171 Fax: 503.598.1960 CITY OF 1 -, :., e : i� ' Date/By 2 Other Pemut No • 24 Hour Inspection Line: 503.639.4175 7 _ .t �i� ' ,,,,,I; � I 1 O ( ' ?� ' Other BUILDING - Date ReadyBy , D 4' � g � � S pee Page 2 for 1LlJ Internet: www.ci.tigard.or.us 1 No u fie d/Method y � Su lemental Information TYPE OF WORK FEE* SCHEDULE' ' ❑ New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ,Addition /alteration/replacement ❑ Other. New 1 dwellings (includes 100 ft. for each utility connection) . CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- family dwelling %Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ` < Multi- family SFR (3) bath 399.00 • ❑ Master builder Each additional bath/kitchen 45.00 ❑ O ther. Fire sprinkler ( sq. ft.) Page 2 • JOB SITE INFORMATION AND LOCATION . Site utilities Job site address: ,9 O ! , , /gyp yj ,0 l gy� f ie; Catch basin or area drain 16.60 City /State /ZIP: �L�_ rl_ � 1 � � � '97 Drywell, leach line, or trench drain 16.60 � � f Footing drain (no. linear ft.: ) Page 2 Suite/bldg./apt. no.: Project name: r_..act.„174 Manufactured home utilities 110.00 Cross street /directions to job site: Manholes 16.60 Rain drain 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 Fixture or item Tax map/parcel no.: Absorption valve 16.60 • DESCRIPTION OF WORK Backflow preventer 1 Page 2 IA 4/0 '"Rf Tz'Kip --/-- r'.�2i) (1..eg_. -7 Backwater valve _ 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 0 PROPERTY OWNER ❑ TENANT , Ejectors/sump 16.60 Name: / 4b+-) 1 W��r CGI. •Z cr -- . fAL c- - Expansion tank 16.60 Address: C Fixture /sewer cap 16.60 City /State/ZIP: Floor drain floor sink/hub Z 16.60 33 2c) Phone: ( ) Fax: ( ) Garbage disposal 16.60 Hose bib 16.60 'APPLICANT ❑ CONTACT PERSON r/ ‘<. Ice maker 1 16.60 f(, Business name: T t' . ��`` � jN ' / � � "Y Interceptor/grease trap 16.60 Contact name: •7 7.1 K!.../.1-4-1---/&)4A-If Medical gas (value: $ ) Page 2 Address: 2 .,1g HPy .A3 I.1_, /....) � b 7> Primer / 16.60 / 6 ‘O City /State/ZIP: '4 Ldp he C 774 Roof drain (commercial) I 16.60 ��� ', �� Sm g k/basln/lavatory�y 16.60 � ` Phone: 7 'T � Fax: : U7 Tub /shower /shower pan 16.60 E -mail: Unnal 16.60 • CONTRACTOR ' Water closet 16.60 - Business name: /, � E ^ � / -( _ Water heater 16.60 Address: V Other: O City /State/ZIP: Subtotal q s C r/ Minimum permit fee: $72.50 Phone: ( ) / - 9 735_ Fax: ( ) Residential backflow minimum permit fee: $36.25 4) CCB Lic. • •� Li1i bing Lic. no.: n- Plan review (25% of permit fee) c1 Authorized signature: r / /� tea State surcharge (8% of permit fee) / S'-' G 6 .....i..../.../.4/ _ z TOTAL PERMIT FEE 24 O ct ' Print name: j I ` J / Date: 0 9 - /4..0/ This permit application expires if a permit is not obtained within I 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I \Bwlding\Permits\PLMF- PermitApp doe 06/05 4404616T(10/O2/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information A, Fee Schedule: Residential Fire Suppression Systems: • Site Utilities Qty. . Fee (ea) ' Total Square'Footage: Perniiit:Fee: • • . Footing drain - 1 e 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46 40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof; to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 / $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Back flow Prevention Device each additional $100 00 or fraction thereof; to (minimum permit fee $36.25) 27.55 and including $25,000.00. Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for ' each additional $100.00 or fraction thereof to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up . $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof. Fixture Work: . , Plan Review for Complex Structures . _ Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees *. Please check all that apply. _ 'Quantity by (Fixture) Work Performed ❑ Any new commercial building. Fixture Type: Replace ❑ Any new exterior plumbing site utilities. Previous Capped Added Existing ❑ A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities - Jacuzzi/Whirlpool providing services to human beings. Car Wash - Each Stall ❑ Plumbing installations, alterations or additions to food service - Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher - Commercial ❑ Any new residential building containing three (3) or more - Domestic dwelling units. Drinking Fountain Eye Wash ❑ Any NFPA 13 -D multipurpose fire sprinkler system. Floor Drain /sink - 2" Submit 2 sets of plans with any of the above. -3" -4 „ Car Wash Drain Isometric or Riser Diagram ' , = • Garbage - Domestic '. , . 1:1 Isometric or riser diagram is required for new buildings Disposal -Commercial three (3) or more stories in height. , - industrial- Ice Mach./Refrig. Drains f Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory - Bradley -Commercial 2 - Service / Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this ermit results in an Water Extractor p Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: p-redi z. plumbing permit can be issued. i \Building\Pennits\PLM- PennitApp doc 07/06/05 .