Permit CITY TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005 - 00667
R J I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/30/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09632 SW WASHINGTON SQUARE RD G - 9 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Builing fixtures. Other fix: drinking fountain, expansion tank, ejector pumps (2), and primer.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: 3 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 3 URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES: 5
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 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 1/30/2006 $278.80
TIGARD, OR 97223 [PLMPLN] Plan Review 1/30/2006 $69.70
Phone : [TAX] 8% State Surcha 1/30/2006 $22.30
Total $370.80
Contractor:
MODERN PLUMBING
11120 SW INDUSTRIAL WAY
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 691 -6166
FAX 503 - 691 -6771
Reg #: LIC 87906
PLM 34 -250PB
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: Permittee Signature: si")\
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.
01/30/2006 01:51 5036916771 MODERN PLUMBING PAGE 02
010/ ^106 13:x8 FAX 5035981960 CITY OF TIGAIiD 1
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• P lumbing Permit Af HA: r, O l LICE 1, O. L V ,
City i....41.. 133125 S Hall Blvd., Tigard, OR 9 EC 0 2 2005 � 1 2 0 .�i� 9enbit No.: ,, . Do
Plan Review c ) , Phone 501639 4171 Fax: 503.598.1060 y °man . J .; odm N60 x a
24• Hear inspection Line: 503.64 OP flu -J, j. •. ��� Date Res*y*Br El Sae Page s mr
Intcrnct; wWW4,tigard,01 u , '- Nuefed/Mehad: l lnfarmadon .
��_ � ..' r.., u1:. 1.,._ .. _ .t,..�T� . , :j-i;.1 . :7 , 4, n. ..L. }. ?s ._.L•L.:_.I `• .
❑ T, Tew construction ❑ Demolition "" an ehedclisa
4 . I , - *Cy. Ea Total r
g Additionlaltorstionimplaccment (] Othow Nrw 1- 2-11sm1Iy dwdUI'.; . (includes 100 tt for each utility connection)
I . .z....1,..,...,...: I' SF9. (I) bath ■ 749.20
❑ 1- and 2•family dwelling 6a C emmerclaiP stria/ SFR. (2) bath 350.00
❑ Aoc hnilrlinE ❑ Multi - family SRI()) bath 399.00
Each additional bath/kluhen , 45.00
in Muster builder ❑ Other=
r Y ., Pbc Fprinkler Sq. tt) - rase 2 •
, •
121 1 17 f l I I 7: El.''
v �:l ►1 1 1; :+ 1 ; Catch basin orarcadrain 16.60 u
City /State ZIP: TIGARD, OR 97233. Drywall. leach line, or trench drain 16.60
Suite/bldg./apt- no.: G - I Project name: BATH & BODY WORKS Footing drain (no. linear ft.: ) Pnge 2
Mnrmfealur 4 home utilitiet t 10,00
Cross afsegf /direetione. Ea lob Bite:
M:, to 16.60 __
-lagirigualactor INI 16.60
Sanitary sewer (no. linear It:: ,__) Page 2
Sturm sewer (no, linear ft,: Page 2 9
Subdivision; Erl W !ter savior (no.linger@.•_) Paget IIIIIIIIIII e.
llidane or item
Tax map /parcel no.: _ _ _ _ _ - I {{ A!a orptlon val 16.60 MINIM
- -----7777:--1- _
;: _- _..._._ '= �.. f'1 ' = ,.�..,._. ,._.._ . ,..._. L ` ._ I Becklowprcvcratcr ITAIIIELMILMOI
INTERIOR REMODEL OF BETAIIL TENANT SPACE IN MALL FOR Badrwater valve 16.60
8XIISTIING TENANT "BA'k'S & 0 obi' WORKS" Guiles washer 16.60 MI
Dinhwssher 16.60
1 L.,.,... ,: .1 I , _,.,._.._ . - • . - Drirlamgfountain / tM
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.. .c.: _a . .,..,'.._,_ ..:..,.., Z, u . .:: I).t r' r:. i.,', ., ..I .,_._ _ ..... .'r. _..:. .i' _.i.. ..r.i .'. :. _ •. �p�� 16.60
Name: BATH & BODY WORKS Expaffiicn �„ /
16.60
. ...._*• : i • :a. ita M : . , , ' . Fa:turdsewer cap 16.60
City /StaterLIP: COLUMBUS, OH 43420 Fiver drain/9oorslnktub ( 16,60
Phone: (614)415-7000 Fax (614)415.7349 Garbage
-- - - .- ,.- -rr -- - se
,-.;,1t4- - ` , ' .,,.. ` .._.... " . :I :I..,... .. 16.60
disposal
. i3� bib 16
.. .,..I .. „. ...., i:.. , , , .. I .. , . .... . . .... ... ...... „. lac malmr
Business Ds= BATH & BODY WORKS 16.60
Iclart�lnrl�ue sap
Contact name: 'TIM SCHENIC Medical gas (value. $ ) - Page 2
Address: 1120 EAST Se MEET-SUITE 211 Primer Eng 16.60
r draln(com al) OM : t6.60
sink/basin/lavatory City/State/Zip: aL[10141[NGT ON, MN 55420 y 7" CM 2 16.80
Aavato
Pitons; (800) 541-0821 kaa::: (952) 854x1904 Tldx'sbower/ahowcr pmt - I 16.60
E•tnail: 19.1DregeIderloweseom Urinal 16.60
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Business 08 .. . I - - -- - 7 .7". � � Wider c l ose[
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16
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, I c,r bin � we ' hearer _
Address: \+V• i t
Oft
en ��il
cuy/3tnlerZIP: ---' ' -(,� 2 • ` a Mlnfmuun permit rue: $72.50
Phone: ( • / a' - 4 , Fax: m ) JCL - a 1 Residential bnekflow minimum permit fee: 'S36 .25 - I. • :
CCB Lie.: • _ Lis. ao. - ;, - Plan review (25% of permit fee) . .„117, 1 S71/0
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`2 g 3 Z ; ' Smte surcharge (9% of permit foe)
Authorized signature: s? / / �� _ _ E :
'I'GTAL PERMIT 17E I. ,` 0
_ iLil Dew 1 - tJ CX i leia permit appGaatioo wires if s permit is not obtained Within
nu gays Idler it has been accepted aus complete
*Fee methodology set by Tri- C4gngr Building Industry Service Board.
mu ultdisrarunitiotio.flem;eA17I4ea 0603 440.Ed105(10ro2/COdetwEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PI_M2005- 00667
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 'I —
INSPECTION WORKSHEET FOR DATE: 4/14/2006 TIME: 7 :07AM PAGE: 79
SITE ADDRESS: 0%32 ENV WASHINGTON SQUARE RD G -9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BATH ¢ BODY WORKS
DESCRIPTION: 13uiling fixtures. Other fix: drinking fountain, expansion tank, ejector pumps (2), and primer.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 691.6166
Inspection Request Scheduled For: Date: 4/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 028018 -01 92t3.30i.•9337 N
Corrections /Comments /Instructions:
`a -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: U j v Date: q 6 Phone #: (503) 718- Di/;,)
i
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: 41)DQ5 D®66'7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 „11 o i 6
Inspection Requests (24 Hrs.): (503) 639 -4175 ±i p
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: Gy�32 w Rd CLASS OF WORK:
SUBDIVISION. ` LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: r
OWNER: PHONE - �1b
CONTRACTOR: / Y j .■AA Pit,... to._, PHONE
Inspection Request Scheduled For: Date: /4 t”' -0 c=3 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3, 5 Pz-1-4°
FAN uz.1 4,4_1: 047(
a r ks
Corrections /Comments /Instructions: Y�
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I I,
fl
/. /-_... /..c _ _...11--/-4 ,..r■ri/. • /
/
...1 � . 1 /L _./A.....
-ASS 1131 •ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 " Le_, Date: (i Phone #: (503) 718 -
CITY OF TIGARD "G
BUILDING DIVISION PERMIT #d4O -C 67d
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 II�..
INSPECTION WORKSHEET FOR DATE: It- TIME: PAGE:
SITE ADDRESS: 62 3 Z lid ,- , `� A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3- / 6 - C ' Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 ' 69/- ,/ 66 4,
f I w
7Arre� c ioniComments /Instructions:
1 1it,,A;b "j 11 Cpv -e✓,
C C a ,, ..vo t , („Al P ,rLI., , �— U e j Co k•kz - A a „e . c. I c . ( - tee.
P te,?.\.
•
❑ PASS [PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: "*"") ' \s--L- Date: ' I J I 0 ( Phone #: (503) 718-
CITY OF TIGARD p
�
BUILDING DIVISION PERMIT #: 20 o S —Op 4 6 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /hmr � 1t,
Inspection Requests (24 Hrs.): (503) 639 - 4175 ±+ I I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: q( 3 - /I • SO CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: •
DESCRIPTION:
OWNER: f� - PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - F- Co Pour Time:
Code # Inspection Description Confirm # Contact # Message
PGIY
37() -)71L S a - t q
Corrections /Comments /Instructions: �
0 12 73a 0 1 3 3'7 (20 1 693y)
141 0.1 C-11/2414-"; S-1 - 1; i AK)
•
❑ PASS CSt PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V► A\'1r.1. -- Date: 3/71 0 ( Phone #: (503) 718-
Army
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL M2006-00667
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3012006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/17/2006 TIME: 7:06AM PAGE: 64
SITE ADDRESS: 0 2 SW WASHINGTON SQUARE RD G•8 CLASS OF WORK:
SUBDIVISION: WASHING'T'ON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BATH + BODY WORKS
DESCRIPTION: Bailing fixtures. Other fix: drinking fountain, expansion tank, ejector pumps (2), and primer.
OWNER: WASHINGTON SQUARE LI..C, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503.691 - 0165
Inspection Request Scheduled For: Date 2/17 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plum hi undersiab 027100-01 928.30i 337 V
Corrections /Comments /Instructions: S 63
•
•
`PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: aT l d Date: Phone #: (503) 718- kr
1