Permit CITY TIGARD PLUMBING PERMIT
IA DEVELOPMENT SERVICES PERMIT #: PLM2005 -00309
' 41. c 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/3/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G
SUBDIVISION: eitze3GENGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Restroom remodel, setting of fixtures. Including: (1) drinking fountain, (15) fixture /sewer cap. Floor
drains are 3 ".
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS: 8 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: 6 GREASE TRAPS:
LAVATORIES: 16 OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 23 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 7/18/2005 $72 :50
TIGARD, OR 97223 [TAX] 8% State Surcharl 7/18/2005 $5.80
Phone : Total $78.30
Contractor:
KINETIC SYSTEMS INC
26055 SW CANYON CREEK RD REQUIRED ITEMS AND REPORTS
WILSONVILLE, OR 97070
Phone : 503- 224 -5200
Reg #: LIC 32357
PLM 26 -58I PB
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 • • • • low rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -e 101 -0010 thr.. .h OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
call g 503 - 246 -6699 • L81141 2 -2344.
- w� i
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Iss ed By: ��lL •,/ Permittee Sign • re: t� _', /� /���
•
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.
FROM KINETIC SYSTEMS 503 - 384 - 9502 (MON)JUL 11 2005 14:12/ST.14:11/No.6800267328 P 2
• 9 5 3 S t." ..; +0a _S RA
• Pliimbine Permit Application
City of Tigard 0.,,in Received 7 // a 5 P°""i, No.: pot)
13125 SW Hall Blvd., Tigard. OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 • Plan Review /
'7, "! Other Pemot Nu.' Y T _
24 Hour Inspection line: 503.639.4175
<..- N� Rd/M t See Page l Information
Internet. www.ei.tig,antur.us ns�� Supplemental Itlon
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❑ Demolition _ For special in orm a
ation use check! &
Description Qty, Ea. Total
* Addition /alteration/replacement ❑ Other: New 1 2 family dwellings (includes 100 R. for each utility connection)
..' ' ". r .. . .- i;i.1�:. 9CAiI'Ei GORY LOF.ii tYJC JONry'= : :: :',1' , ;"' ','ci ° : Sl'lt (I) bath 249.20
❑ I - and 2 family dwelling 0 Contmercial/industrial SFR (2) bath 350.00
Accessory building
• ' SIR (3) bath 399.00
CI ry g ❑ Multi - family
Each additional bath/kitchcn 45.00
❑ Master builder ❑ Other:
Fite spi inkier (_ my. ft.) Page 2 • • , " ' 'JO131 0 §'I ,W.IHFOiil1f` "T)ION;i :# IQN" iii :! ' /!a
' •; I Site utilities
Job site address: 9585 SW Washington Square Rd Catch basin or area drain 16.60
City / State/ZIP: Tigard, OR 97223 Drywcll, leach line, or trench drain 1660
Suite/hldgJapt. no.: v I Project name: Mall Restroom Remodel Footing drain (no. linear ft.: ) Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear R.: _ ) Pagc 2
Storm sewer (no. linear ft.: ) Page 2
• Water service (no. linear R.: ) Pagc 2
Subdivision: 1 Lot no.:
Tax clap /parcel nu.:
Fixture or Item
I ,; f,i •...'r r 1. .,.. "2;,: ;: ∎.;: fi ::t Jj1SCR1 f 1 1 r0 r" oRl i . : 5 . 'r " r ' . ta _r t Tw 4%;ir..14:I=shi . l
Absorption valve 1660
Backflow prcvcntcr Page 2
Plumbing for new mens restroom. and remodel of womens restroom Backwater valve 16.60
•
Clothes washer 16.60
Dishwasher 16.60
❑ _ PRUP)rR �Y rO�VN 'tiY i ,': : ki "` a , r, :,f,, o• M••; - ' Drinking fountain 1 6.60 /4, 4th
Fs 16.60
Name: The Macerich Company
Expansion tank 16.60
Address: 401 Wilshire Blvd., Suite 700 ectuver cap ` 16.60 a�Q ,OC
City /State/ZIP: Santa Monica, CA 90401 o r d eal floor sink/hub 511 ' 16.60 /32 .8D
Phone: (425)867 -0808 Fax: (425)867 -1577 gc disposal 16.60
�, .' . P tFV1''.r ,,.•.0 .v /� 1 At,r.. F v .r r ' (lose bib 16.60
,, ,',., .... *t ' .., -1.s ti-.erti :riiil l .ki i` CIA •• lif �4e
Ice maker 16.60
Business name: Kinetics Systems, Inc.
Interceptor /grease trap 16.60
Contact name: Peder Trelstad Medical gas (value: $ ) Page 2
Address: 26055 SW Canyon Creek Rd. Primer 16.60
City / State/ZIP: Wilsonville, OR 97070 Roof drain (commercial) 16.60
(DO
Phone: (503)709 - 2928 f Fax: : (50-384-9502)
Sink/basin/lavatory - 16 16.60 Q, L ,
Tub /shower /shower pan 16.60
E -mail: . 6 0
_ Urinal 6 16.60 C19
. ' :,• ,- ,F'.h , r r � , . 'J` ,Z.5, ,' it '_ !: _-(_ -• i ii %];:.irl' ,. �' -, 1, 4.7 4: „ . i51 { ; d l ; - e
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l,.,:• " -:i:: z ��iI _ „i:?� t� <. -.. ' );na W ater closet i �3 16.60 °301.go
Business name: Kinetics Systems, Inc. Water heater 16.60
Address: 26055 SW Canyon Creek Rd. Other:
City / State/ZIP: Wilsonville, Or 97070 Subtotal
Minimum permit fcc: $72.50
Phone: (503 -) 224 -5200 Fax: (503) 224 - 8521 Residential backflow minimum permit fee $36.25 /
CCII Lie.: 32357 Plumbing Lie. no.: 26-581 PR Plan review (25% of permit fee) A : P g-
1 State surcharge (8% of permit fee) ,
Authorized signature: TOTAL PERMIT FEE
Print name: Peder Trelstad I late: 7/11/05 I This permit application expires if a permit is not obtained within
180 days after it bas been accepted as complete.
• Fee methodology set by Th -County Building Industry Service Board
i \Budding \PemuntPLM- PtrmiApp 0o/05 440-66161(Irv02 /C:OM/WSB)
I
CITY OF TIGARD . A
BUILDING DIVISION PERMIT #: PLM2005-0030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 813/2005
Phone: (503) 639 -4171 VIA 1
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �..
INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME 7:08AM PAGE 98
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD IVA: CL TYPE OF O USE:
SUBDIVISION: WASHINGTON SQUARE
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Restroom remodel, setting of fixtures. Including: (1) drinking fountain, (15) fixture/sewer cap. Floor
drains are 3 ".
OWNER: PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 503-224 -5200
Inspection Request Scheduled For: Date: 9/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 016952 -01 503.789 -9340 Y
Corrections /Comments / Instructions:
1
I
% t
711(.7 jt
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
\ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: gl in,1 Date, a Phone #: (503) 718-
.,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005-00309
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 11 A
Inspection Requests (24 Hrs.): (503) 639 -4175 . I �..
INSPECTION WORKSHEET FOR DATE: 11/212005 TIME: 7 :04AM PAGE: 69
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Restroom remodel, setting of fixtures. Including: (1) drinking fountain, (15) fixture/sewer cap. Floor
drains are 3 ".
OWNER: PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 503- 224 -5200
Inspection Request Scheduled For: Date: 11/7J2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 020080-01 503 - 780-9340 N
Corrections/Comments/Instructions:
0 /
/' i
/
)h ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ) 0 )Phone #: (503) 718-
CITY OF TIGARD . l
BUILDING DIVISION PERMIT #: PLM2005 00309
13125 SW Hall Blvd., Tigard, OR 97223 D ISSUED: 8/3/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s' 11i
INSPECTION WORKSHEET FOR DATE: 9/30/2005 TIME: 7:05AM PAGE: 1
SITE ADDRESS: � CLASS OF WORK:
SUBDIVISION: 09585 SW WASHINGTON SQUARE RD Z3T # : TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: WASHINGTON SQUARE EXPANSION
Restroom remodel, setting of fixtures. Including: (1) drinking fountain, (15) fixture/sewer cap. Floor
drains are 3 ".
OWNER: PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 503. 224 -5200
Inspection Request Scheduled For: Date: 9/30/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 017141 -01 503-467-8525 Y
Corrections /Comments /Instructions:
C. ri
f i `j I\
...,
/-` ; / -
Zi
ifi , ..., .7ez7---5-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /27 Date: /�.!/ % Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION #: pLM200rr00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �,l ^'I ��
INSPECTION WORKSHEET FOR DATE: 9/19 /2005 TIME: 7 PAGE: 6
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Restroom remodel, setting of fixtures. Including: (1) drinking fountain, (15) fixture/sewer cap. Floor
drains are 3 ".
OWNER: PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 503 - 224 -5200
I
Inspection Request Scheduled For: Date: 9J19/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 016042 -01 503 -467 -8525 Y
Corrections /Comments /Instru 'ons:
0
.faisri f /_ ■._■/1Lilro
teA....rdAIWAM -71...2.-......'.
[ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -
L
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PLM2005 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 a �a
Inspection Requests (24 Hrs.): (503) 639 -4175 ..'!+� "'I l..
INSPECTION WORKSHEET FOR DATE: 8/8/2005 TIME: 7 PAGE: 35
SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT OFFIC CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE EXPANSION
DESCRIPTION: Restroom remodel, setting of fixtures. Including: (1) drinking fountain, (15) fixture/setiver cap. Floor
drains are 3 ".
OWNER: PHONE #:
CONTRACTOR: KINETIC SYSTEMS INC PHONE #: 503- 224 -5200
Inspection Request Scheduled For: Date: 812006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 013060 -01 503 - 789-9340 Y
Corrections/Comments/Instructions:
1 43. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: "9 %��� Date: WW Phone #: (503) 718-
frYOFTIGARD . . -
BUILDING DIVISION PERMIT #i16ii 2-def j
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ' ( t
Inspection Requests (24 Hrs.): (503) 639 -4175 '' �..
INSPECTION WORKSHEET FOR DATE: 7 " / / r-as TIME: J✓ PAGE:
SITE ADDRESS: 4 sk 7 u/ 4- S 1 P---o CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
CONTACTOR: g (4 ,4 6'f . - kl Hfr4 c S S7 $44.5 PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description n Confirm # Contact # Message
P/2i b u�& Co-tm-/--e4y l Jie .0 3 � / y
KR 4 n
Corrections /Comments /Instructions: i, vLi+ Rubel, 93 3$y g5oL
wr; 1 14,1 Tits - 310 L
ltk PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 Date: 1 cl, J I O? Phone #: (503) 718 -