Permit _ e
CITY OF TIGARD
PLUMBING PERMIT
i . DEVELOPMENT SERVICES PERMIT #: PLM2005 -00633
I " 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/27/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09641 SW WASHINGTON SQUARE RD FC -7 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI - other fixtures are: (1) expansion tank, (1) hose bib, (6) primers, (2) ice makers & (1) trench
drain.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B FLOOR DRAINS; 2 TRAPS:
STORIES: 2 WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 5 URINALS: GREASE TRAPS: 2
LAVATORIES: OTHER FIXTURES:
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 2/22/2006 $395.00
TIGARD, OR 97223 [PLMPLN] Plan Review 2/22/2006 $98.75
Phone : 503 - 639 -8865 [TAX] 8% State Surcharl 2/22/2006 $31.60
Total $525.35
Contractor:
AL'S PLUMBING
5655 CROSSLER CT. S. REQUIRED ITEMS AND REPORTS
SALEM, OR 97306
Contact # : PRI 503- 375 -3449
FAX 503- 375 -3444
Reg #: LIC 95618
PLM 27 -27PB
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
require -to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 001 -0010 throu ! - 0' ' 952 -0001 -0100. You may obtain copies of thus or direct questions to OUNC by
c ling 503-246-6. • o -80e 332 -2344. ( /
Is ued By: / t �l �� / Permittee S'4 nature: _i ; � /
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit cab 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.
11/1V9005 THU 10:59 FAX 626 280 9189 Cal Arc Design Studio R004/005
g Permit Application- ��
Plumbin
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City of Tigard 1 a d n= l //lII/�A��� -1 ..• • - '00 i J'
13125 SW Hall Blvd -, Tigard, OR 97223 NU Pte[ ��i ew
Datl/
Phone: 503.639.4171 Fax: 503.598.1960 u r / Mn ,+� ;: 1 (* t�y: I I f b o r�,.J Other Permit No.: ie -4603 ►
24- Hour Inspection Line: 503.639.4175 C 1 ■ Y i 1, _ .,� I t 1 1 „ .
„to ' -. Date Ready /By: / RI See Page 2 for
Internet: www_ei trgard_or ac IN Notificd/Method: /' p �� Supplemental Information
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❑ New construction ❑ Demolition For special information use checklist
Description I (Illy. I Ea. I Total
® Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft for each utility connection)
rr r]rl l lrl 7 Iu i;t Lf -_ = == - = r: . t111N9) 7f [ '}t!t 111 li
SFR 1
i � �ltG { rI r Z ..rj ;a te `! #" "w 1urI 1�lfi"�f wlI a
��z. rdl�is ,ul�u�![�adthtt:,r,t.t:itt,iiay a �+�d. -- =-- •- - - ,.(: 4+:+ Li12: Ulou .riilio,lrilat2il��alT`lL�sidf () bath I 24920
❑ 1- and 2- family dwelling ® Commercial /industrial SFR (2) bath - 350.00
❑ Accessory building ❑ Multi- family
SFR (3) bath 399.00
❑ Master builder ❑Other Each additional bath/kitchen 45.00
s__�� r «, , bed <.jt f! t tit' f . 1r , n'' � ,. f L a �. Fire sprinkle= C.___ sq. R) Page 2
gg � V p q,,
� ' �'•.�a�:� � [ P, �t JlitltJt:t�w71'r�� L'JIIL n . ;. L �. - Lr ti ,!, ~ & Site utilities - .. .. n 77, r. 'hrtD,rrtl, trrk nlfrl� '�. tl�'+' �4?ti @ i,,
Job site address: 9641 S.W. Washington Square Rd. Catch basin or area drain 16.60
City /State /ZIP: TICARD, OR 97223 Drywell, leach line, or trench drain 16.60
Suite/bldg./apt. no.: FC -07 I Project name: Panda Express ® Washington Sq.
AR..! Footing drain (no. linear ft.: ___) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site Sw Hall Blvd and Sw Scholls Ferry Rd. Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear IL: ) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision + Lot no.: Water service (no. linear ft.: __) Page 2
Fixture or item
Tax map /parcel no.: 3/ a • • '00 ,• i
l
9; tip ! • itc ! e r at I a 1ti , a Absorption valve 16.60
rrl.t� 'tTl r 3k[r_•e',.t 4o Mugs' s. [L � ,..5n! I°l�. r '
urn rcu,E;, d�lv :� a z a;i: LJt t a , rt?t +; t „ k. �•��"� �•�... Backflow preventer I Page 2 , ,yb
chinese fast -food kitchen inside the food court of Washington Sq. Mall. the Backwater valve 16.60
dining seating are shared with other food court tenants. Clothes washer 16.60
Dishwasher 16.60
s 'rr„ - - b r ti It
r":" .� ,
t'. t' . S _ lIN � r tll `l'n, , r,r I R "' (1„(:'''. rs - i , - Drinking fotmtain 16.60
i'nit lkklfticu�1N t i n, ,u ,_„x. _ `) ��, 1.46. atSttriM ,liii YtM ;fC i fl:i51.,..f ¢ 4 a r ^ �fT.r11 1 .Jil 4 4[a tl[
Ejectots/stlmp 16.60
Name: Macerich Company Expansion tank ! 16.60 /4).40
Address: 401 Wilshire Boulevard., #700
Fixture/sewer cap 16.60
City /State/ZIP: Santa Monica, CA 90401 Floor drain/floor sink/hub R" (9. 16.60 5 .2.0_
Phone: (310 )394 6000 Fax: ( ) Garbage disposal 16.60 / Q
-
lt1 r!> L+ A r,°�+ �,` r Lt i axti� g a=r' t r u� r r L f " ! srl t Hoac bib of 16-60 i � �PC�_
i�r/, t+ / ✓ I E ti "irtl�`}: , rir..a c n [4r , �r j't9 0 [ �h [ r rti . . r°� �' II' Illli
I uf6i:u3,t .tt��k:,l ruvtxit�n aau�t }� ! `Ala �r4 ra ;file Ice maker 16.60 - 3•20
Business name: CAL Arc Design Studio, Inc
lntcrcepto • rase trap 16.60 3 • AD -
Contact name: Charles Lea / Ike Tang Medical gas va ue: 5
_ ga ) Page 2
Address: 1683 Walnut Grove Ave. Suite #301 Primer 16.60 6 /1 • ' t
(commercial) City/State/ZIP: rosemead, CA 91770 R oof drain ( ) 16.60
dag•asin/lavatoty '= 16.60 0' 00
Phone: (626) 280 -9188 Fax: : (626) 280 -9189 u • shower/shower pan 16.60
E -mail: charles@calarc.net itang@calarc.net
Urinal 16.60
�'rye . 9 I Pr 1 I tt �, ^" tl1 _ ___ . __ . _ - t4�y, �i�[79 } .M t'it' f { y ���y j�rf
df t[rr. t.i tQr �7.1vx r - a ` j/P i ! :tr: 9 /4 {�(1'r'r f , ( , . ,hHt 9 Of ,i r '' NAt ....
r = f
`� (p
�1�rs,,v�r � �- -� ..,. .t water 16.60 . -�
-r r • r r, MM- W1M'H411]r115 L rl t hL • eq"y> " i• n , [ tlur L" i r „ , , .
Business name: :T.13.A. I' 0 o' i Water heater / - 16.60
Address: 'S?,SS C:Q.dSS I. Q CI' . S t Other. / ' _ .. -7, ■ . Am _ /6 .4d.
City /State/ZIP: 3 , ...„, Q(Iz z6 - Subtotal
Phone: (5 ) 3 S_ 3� ` � Fax: ( ) Minimum permit fee: $72.50 QQc� ca
3)s- 3444- Residential backllow minimum permit fee: 536.25 or CCB J 7
CCB Lie.: 9 g / / i t /07 _ Plumbing Lie. no.: a-2- )*•] p6 Plan review (25% of permit fee) '9g- -
0 / 1f' , State surcharge (8% of permit fcc) ,
Authorized signature: • 3 / • Coe --7/// TOTAL PERMIT FEE .. 5 - ,AS - .32' - '
Print name: Date: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tti -County Building Industry Service Board.
r:\ 6u( ldini Ai'omn.APt.M- PrxmatApp.duc 06/05 440- 4610T(10/07/C:OM/wta)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PL M2005-00633
0633
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2i)0f
Phone: (503) 639 -4171 '
Inspection Requests (24 Hrs.): (503) 639 -4175 ,‘;•-• ..7-40W
•
INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: 7:026 \M PAGE: 7
SITE ADDRESS: 09641 SW WAS! ZINC I ON SQUARE RD FC7 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: PANDA EXPRESS
DESCRIPTION: TI - other fixI.ures are: (1) expansion tank, (1) hose bib, (6) primers, (2) ice makers & (1) to nch La. cam.
OWNER: WASHINGTON SQUARE LLC, PHONE #: 6.03 G39
CONTRACTOR: ,AI 'S PLUMBING PHONE #: 603-376-3449
Inspection Request Scheduled For: Date: 4/19/2006 . Pour Time:
Code # Inspection Description Confirm # Contact # Message
3699 Plumbing final 028323-01 503-500.0041 I
•
Corrections /Comments/ Instructions:
i
7c 1 5- ASS ftj RTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I \ e/ Date: �1 )1,01 Phone #: (503) 718 -
CITY OF TIGARD . , ?Lim
BUILDING DIVISION -� PERMIT #:p3 005 67 °623 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 jril t I nspection Requests (24 Hrs.): (503) 639 -4175 L
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / ep 7'' / C.4 , . J £ • RP. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
..PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: _ �, _ _ • PHONE #:
I _ . r ' :;. J - %%_I�
I ,
Inspection Request Scheduled For: Date: 3- Z 8— b e7 Pour Time: /
Code # Inspection Description Confirm # Contact # Message D
32 ,lt--,-1.. h so ooq/
Corrections /Comments /Instr tions:
A as s v ' /
/
• LP 11..IV '
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: U ' ' 0 Data: Al 6 , Phone #: (503) 718-
CITY OF ■ IGARD
BUILDING DIVISION PERMIT #: Plrh O(, 33
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175. I.�..
INSPECTION WORKSHEET FOR DATE: TIME er PAGE:
SITE ADDRESS: O'1(BLI Wet--1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: r r PHONE #:C -i3, j0 ^36,)--D CONTRACTOR: IN �� PHONE #:
Inspection Request Scheduled F. . Date: ' — 2- �O Cv Pour Time: •
Code # Inspection D- scription Confirm # Contact # Message
S xe C Wo._t,l •
GO V e...1
•
Corrections/Comments/Instructions:
Pa7nA-
•
•
PASS • ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� �/ Date: a( Phone #: (503) 718- 2 - ` q