Permit F TI ARD PLUMBING PERMIT
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i . COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00038
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/6/2007
PARCEL. 1S12600-00300
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: HOLLISTER CO. Backflow on water supply to steamer unit.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: M FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
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 2/6/2007 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 2/6/2007 $5.80
Phone : Total $78.30
Contractor:
ACKERMAN PLUMBING SERVICES
14674 SE SUNNYSIDE RD #159
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 698 -2211
FAX 503- 698 -5066
Reg #: LIC 136601
PLM 3 -427PB
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: �`.� /r C Permittee Signature: 5 P Sl
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.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00038
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 216/2007
Phone: (503) 639 - 4171 1��
Inspection Requests (24 Hrs.): (503) 639 -4175 °T i I..
INSPECTION WORKSHEET FOR DATE: 9/16/2008 TIME: 7:01AM PAGE: 8
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO.
DESCRIPTION: HOLLISTER CO. Backflow on water supply to steamer unit.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ACKERMAN PLUMBING SERVICES PHONE #: 503 - 698.2211
Inspection Request Scheduled For: Date: 9/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 075511 -01 503-698-2211 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: cm t i 1 \1%...,_ Date: ei ) tL Ion Phone #: (503) 718 -
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 000;:18
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/6/2007
Phone: (503) 639 -4171 b p �4'�I'I
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ":_..
INSPECTION WORKSHEET FOR DATE: 2/13/7007 TIME: 7:02AM PAGE: 39
SITE ADDRESS: 09777 SW WASHINGTON SQUARE RD D9,10 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: HOLLISTER CO.
DESCRIPTION: HOLLISTER CO. Bacldloow on water supply to steamer unit.
I
OWNER: WASHINGTON SQUARE Ll_C, PHONE #:
CONTRACTOR: ACKERMAN PLUMBING SERVICES PHONE #: 503 - 698.2211 ..
Inspection Request Scheduled For: Date: 2/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 Misc. inspection 043312 -01 503698.2211 N
Corrections/Comments/Instructions:
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A laV1 r0 W _ M - A .f.
❑ PASS /❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
V FAIL
g FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V) )1C Date: 2 //3 / 7 Phone #: (503) 718J="2 93/