Permit 1 to. CITY OF TIGARD PLUMBING PERMIT
.. COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00122
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/27/2007
PARCEL: 1S12600-00300
SITE ADDRESS: SW WASHINGTON SQUARE RD B8 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: BOMBAY EXPRESS
Project Description: Replacing existing fixtures. Other fixtures: ice maker.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 3 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 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 3/27/2007 $83.00
TIGARD, OR 97223 [TAX] 8% State Surcha 3/27/2007 $6.64
Phone : Total $89.64
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 B: Permittee Signature: or'
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.
t a r * 26. 2007 4:04PM Modern Plumbing No. 4333 P. 2
P1umbieg ih `(!--'1\,i1`_'",3 - - VOI: OFFICE i.Sh (,YI.v
City of Tigard leiA ': 1.001 ffixan � 7 Palau No 1+rr! t�•60�" 00 /o? 2-
1312.5 SW Hall Blvd, Tigard, OR 97223 D '� �
N C' Ph..: 503.639.4171 Pax: 503.598.& 1 1 .... ..+• -:.0 Plan Rene other ' tut No
Inspection Linc: 50 3.639.4175 : ; Q�PO,i,1 7,r._'� + '3. y n- - ; :';�Rt.
h. D y
Internet: !Aviv turd -o gov N am' mss:
Notified/Method: I , th 0 i See page 2 for
pptementalInformant
0 New construction 0 Demolition - For !pedal information use checklist
-Description J Qtx,_J Ea. l Total
J Add ition/aheretion/rep1acement ❑ Ott NM 1- 2 dwe .(iachs )•Od'8 for each utilitycomnection) -
[;AiticQR "OF C- ONStltl C • ' SFR . (1) lath 249.20
❑ 1- and 2- family dwelling 'CommerciaL/industtial SFR (2) bath 350.00
❑ Accessory building ' 171 mum-family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
C1 Master builder 0 Other
Fire so_
sprinklers d.) Page 2
. , , , ; u'isnriz 11 O1iiktA, uoi4 lkl • fi t)C411ON' „ .. - ' ... Site utilities
Job site address: S GR a, a_ V S I
� W ! , Catch basin or area drain 16.60
City/State/ZIP. f 4 ( d l 0 at 7D- 3 1Raywdl, leach litre. or trench drain 16.60
Suitelbldgiapt no.: Project name: Footing dry (no- linear R= . ) , �i , . .,, c , , - Page 2
Cross street/directions to job site:
Manufactured home utilities ": ' 110.00
Manholes "'. ° %. 16.60
Rain dram connector ' ' 16.60
Sanitary sewer (no. linear 8.: ) Page 2
Stoma sewer (no. linear R.: ) Page 2
-
Subdivision; I no : Water service (no. linear IL: ,_, Page 2
Tax map /parcel no : 1 Fftrtaa` or item
Absorption valve 16.60 -1
• , , Dig 407.1ION' )1?; O14J nacktlow primmer i Page 2
-f y'Q, - t' II a - v� Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60 •
0' PROPEIiTF (3iiii1 . , ❑ .'.'.ANT. . ' Dtmkin foutdain 16,60
Ejectors/sump 16 -60
Name:
Expansion tank 16.60
Address: Fixladsewcr cap 16.60
City /State/ZIP: Floor drain/floor sink/hzib 16.60
Phone: ( ) Garbage disposal 16.60
Fax: )
- - ' Bose bib 16.60
Ice male' I 16.60 lb, 410
Business name:
Intercepter/pima hap 16.60
Contact name: _ Method gas (value: $ ) Page 2
Address: Primer 16.60
City /State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) Fax : ( ) Sink/basin/lavatory - �j 16.60 t4 �O
- - Tub/shower/shower pan 16.60
E-mail:
Urinal 16.60
lku#+CU Water closet 16.60
Business name: MODERN PLUMBING CO. Water heater I 16.60 !O
Address: 11120 SW INDUSTRIAL WAY Oth'�
City /State/ZIP: TUALA"TIN, OR 97062
subtotal , 3- 00
Minimum permit fee: $72.50
Phone: (503) 6914166 Fax: (503) 691 -6771 Residential bade low minimum , - fcc: $36.25
CCB Lie.: 87906
Oumbing Lic no.: 34.250PB Plan review (2585 of pmt fee)
/ State surcharge (8% of permit fee)
Authorized s1g[taturc. 0 / ` TOTAL PERMIT FEE g9, & I
•
Print name: D 4, i -ra _, ec. r - e._ Date: /( , c Eats permit appReatloas expires if a permit is not obtained within
180 days after it has bed accepted as complete.
*Pee methodology sat by Tn - County Buiiding Industry Service Board.
1. td Pa,nc\Pt.M- PandtApp.doc 06,26/06 440- 4616T(10/02/cOM/WEB)
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: PLM2007 -00121
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639- 4175il�..
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 78
SITE ADDRESS: 09647 SW WASHINGTON SQUARE RD FC-9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BOMBAY EXPRESS
DESCRIPTION: Replacing existing fixtures. Other fixtures: ice maker.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503-691-6166
' Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 046854 -01 503 - 691 -6166 Y
Corrections /Comments /Instructions:
�aok,`V1u.J
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: II Date: L- I )2' ) o-7 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007-00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27 /2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/19/2007 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 09647 SW WASHINGTON SQUARE RD FC-9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BOMBAY EXPRESS
. DESCRIPTION: Replacing existing fixtures. Other fixtures: ice maker.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 691 -6166
Inspection Request Scheduled For: Date: 4/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 046801 -01 360 -624 -7026 Y
Corrections /Comments /Instructions:
Q,v , Lo ", ✓� Ilya ev R. P Oc„nt ze Ga ✓� e ,. e✓, Ou
S:2-..A A ^ Y l e lu1- lyd ►. ti.•.% 11- e - , c-J -1 I o r ? loo r.
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c Ott P 1
Nat'(2
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: al Date: Lib 01jd'7 Phone #: (503) 718-
- _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00122
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2007
Phone: (503) 639 -4171 ' 440,
•
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 46
' u
SITE ADDRESS: 09647 SW WASHINGTON SQUARE RD FC-9 CLASS OF WORK:
SUBDIVISION:- WASHINGTON SQUARE LOT #: - TYPE OF-USE:
PROJECT NAME: BOMBAY EXPRESS
DESCRIPTION: Replacing existing fixtures. Other fixtures: ice maker.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503691 -6166
Inspection Request Scheduled For: Date: 4/9/2007 Pour Time:
Code # Inspection Description Confirm # - Contact # Message •
320 Plumbing rough -in 046176-01 503-691 -6166 Y
•
Corrections /Comments /Instructions:
•
•
lig PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L►A- .aW"'^a— Date: 1- 41107 Phone #: (503) 718