Permit f 4 CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00239
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/5/2007
PARCEL: 1512600- 00300
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D -11 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: CHAMPS
Project Description: TI - existing floor drain relocated 2', (1) lay is being relocated, (1) toilet is being replaced. No testing
of venting per John Williams. No change to EDU's.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS:
STORIES: 1 WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 1 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 1 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WASHINGTON SQUARE LLC D
BY THE MACERICH COMPANY Description Date Amount
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 9/5/2007 $72.50
TIGARD, OR 97223
[TAX] 8% State Surcha 9/5/2007 $5.80
Phone : Total $78.30
Contractor:
LIVING WATER PLUMBING
39234SW CASCADIA VILLAGE DR.
SANDY, OR 97055 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 668 -0699 •
FAX 503- 826 -8077
Reg #: LIC 162446
PLM 3 -559PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
i
Issued By: 4,�� Permittee Signature: _ , = WA . J
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUN106 /2007 /WED 10:13 AM FAX No. P. 005
:4 -- •
Plumbing Permit ApplicationsE
CE`VE FOR OFFICE USE ONLY
R eceived Permit No.: •
City of Tigard Q Date/By: ' 4 07
q 13125 SW Hall Blvd., Tigard, OR 97223 , � rI
Ti 8 2007 Plea Review ■ Phon 503. 639.4171 Pax: 503.598.1960 �UN 0 y. Other Permit No.: -
'I' 1 GA- Inspection Line- 503.639.4175 CO OF 7I( D bate Ready/By: /e 0 See Page 2 for
Internet www.tigard- or.gov un pin , otifed/Method: Mr « Supplemental rnformati; •' -
o- S_ •L _ - - _-e� _ - �.{ - _ :_ ' i:. ; 4 !.: as r _ _ "7- r'.� Ty •_S V : - gc C
❑ New construction ❑ Demolition For special i/,jormotlon use checklist
Description I Qty. I Ea. I Total
X Addition/alteration/replaccment ❑ Other: New 1- 2 - family dwellings (includes 100 ft. for each utility connection)
:__ .._, • au: - -- 'r =-- - ie E t'e_':r1; G SFR (1) bath 249.20
-- - =
- -- -' •.. : �__�_�$TTGO>�1( =Q;F -�ON RUCI'lON;; ' �.:: =s;a� =c;. {•. O
❑ 1- and 2- family dwelling Commercial /industrial SFR. (2) bath 350.00
❑ Accessory building I: Multi-family SFR (3) bath 399 00
Each additional bath/Idtchen 45.00
❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.)
Page 2
g
�OB�$YClgrVE� F► [ON ry_. <� ,� ,, Site utilities ITT, site addsc . ( ' u' 1 �� g " ' Catch basin or area drain 16.60
Cit /State/ZIP: -0 a f ( 1 0 C q 1 a , Drywell, leach lux, or trench drain 16.60
S Footing drain (no. linear ft.: ) Page 2
Suite/bldg./apt no.: I Project name: C
1 / 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: WA C�i $I&) Ha ft,/ I Lot no.: 'mater service (no. linear f .: Page 2
�' v Fixture or item
Tax map /parcel no.:
k. --4 i ,�. „_- Absorption valve 16.60
F 4,
' {;�; - ' 3=4 -� '_ `; SFRIE'itIOL�10 k - -<, w ,, ; .,,-.,_ _ _ _ . • sc BacldlOW preventer Page 2
.v. `. =.: :
i: ffi:? _ __r = »aa. --,Fa _
&.& t A 1A.4I S L'A &L..g Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
_ _ 0 , Drinking fountain 16.60
itlr<411FR All- , rte = =- - -- - Ejectors /sump 16.60
_
Name: ,`/ 0 _ I ( ,i . 11L40 • C o •• 1 I iL .il' Expansion tank 16.60
Address: ct" 86 •
3 . - wacr► ( a9 fix-am/sewer re
) • oz! /sewer cap 16.60
City /State/ZIP: j ( � (9
a `25 Floor drain/floor sink/hub ,g {,
16.60 )(/
��,�-{{�� p ,, t Garbage disposal t°" 16.60
Phone: (5153) Iroiret
5 )O p,� 62
8 b `mil - Fax: ( ) ( -� 49- Hose bib 16.60
:: ? I .T --=-_-_,....:- : Ft [ C _ CO Tl� 3 O ''
_ - 4iZ'P .. 6']! i,.47�., r R Tlr5
-- •• , F �If.zCl � , Fv ,L I ce maker 16.60
Business name: ` 4, 1 �� Interceptor/grease trap 16.60
Contact name: Ua 4 1 / 1 a i- ,a-r4-r Medical gas (value: S ) Page 2
Address: rba 05 - Otkg • • 1 Pnmcr 16.60
City/State/Z1P: \A, U2, CA to ) Roof drain (co cial) 16.60 �'�
vin ( _ Sink/b - bO [ i X �6T 16.60
Phone: (`3N) �a- • b a�� I F ax:: �� g O ava[o
Tub /shower /shower pen K � i � 16.60
Email:
Urinal 16.60
wt i �j-. =- - - -' -" _
Vo ia}w; A k _..-,- _ .� v ii ' ? ; ,- • a, = 2 . ,i - ?' o.` "!^NvIf » Water closet (() 16.60 J/, . 6 o
\. Business name: r w • a ^ Water heater (i) pi (y(; 16.60 i f l egeFier
Address: 3`?a34 �a1s✓a...eb_� �Qna1t
�- - Other:
l
r i City/State/ZIP: l i • p_ / '" Subtotal
_ _ Minimum permit fee: $72 50 7
ppr��� Residential bacidlow minimum permit fee: $36.25
Phone: (,00 l/ bg ...
: �� Fax: �D3) $07 00 4 Plan review (25% of permit fee)
CCB Lic.: �1 Plumbing Lic. no.: _3,..G S
1 �� T . / / O�� State surcharge (8% of permit fee) J O
-mss_ Authorized signa ' Jam' 4 _ TOTAL PERMIT FEE
< I Print name: /.6 ) 1 Da 7 = � T his permit application expires If a permit is not obtains whin
180 days alter it has been accepted as complete -
`Fee methodology set by T i- County Building Industry Service Board.
1:\ BuildingWarmas\PLM- PermkApp.doe 06/36/06 44e- 4616T(10 /02/COMMEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 IL .
INSPECTION WORKSHEET FOR DATE: 9/19/2007 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHAMPS
. DESCRIPTION: TI - existing floor drain relocated 2', (1) lay is being relocated, (1) toilet is being replaced. No testing
of venting per John Williams. No change to EDU's.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: LIVING WATER PLUMBING PHONE #: 503668 -0699
Inspection Request Scheduled For: Date: 9/19/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 055948-01 503-808-0726 N
Corrections /Comments /Instructions:
Car0C- 1J
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ll./11. �' v `^'� Date: 1 \a1tC0 Phone #: (503) 718-
CITY OF TIGARD ' ,
' BUILDING DIVISION PERMIT #: PLM2007 =00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2
Phone: (503) 639 -4171 "
Inspection Requests (24 Hrs.): (503) 639 -4175
•
INSPECTION WORKSHEET FOR DATE: 9/612007 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 09779 SW WASHINGTON SQUARE RD D-11 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHAMPS
DESCRIPTION: TI - existing floor drain relocated 2', (1) lav is being relocated, (1) toilet is being replaced. No testing
of venting per John Williams. No change to EDU's.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: LIVING WATER PLUMBING PHONE #: 503668-0699
1
Inspection Request Scheduled For: Date: 9/6/2007 Pour Time:
Code # - Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 055257 -01 503-806-0726 N
Corrections/Comments/Instructions:
ta PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Tb' 'l \) p—a.— Date: b (,c Phone #: (503) 718-