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Permit A, CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #: PLM2004 -00444 I r. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/5/2005 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD PARCEL: 1S12600 -00300 SUBDIVISION: D001141$I06Fft SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: UNK FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: 16 FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 10 TUB /SHOWERS: SEWER LINE: 360 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: 810 ft Remarks: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. FEES Owner: Description Date Amount WASHINGTON SQUARE LLC BY THE MACERICH COMPANY [PLUMB] Permit Fee 1/5/2005 $1,052.60 9585 SW WASHINGTON SQUARE RD [PLMPLN] Plan Review 1/5/2005 $263.15 TIGARD, OR 97223 [TAX] 8% State Surcharl 1/5/2005 $84.21 Phone : Total $1,399.96 Contractor: HOWARD S WRIGHT 425 NW 10TH AVE SUITE 200 PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone : 503 Sewer Inspection Sewer Inspection Reg #: LIC 89229 Storm Drain Insp Storm Drain Insp Final Inspection 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 question o OUNC by ca 'ng (503) 246 -6699. Issued By: _ ,Xg,0�,Q � /(� Permittee Signature. _ ,„, Call (503) 639 -4175 by 7:00 P.M. for an inspection needed th: ext business d.� V •-- 'e•1tiile • _ FOR OFFICE USE ONLY • - um 1 mg ' ermit Application Received Plumbing , / �/ ,66 c Date/By: A 01 Permit No..r �t1� 4 / 7 -,! !, r '�,;,:. ; '. , . ' -_ Planning ppro Sewer City of Tigard ` , - Date/By: Permit No.: 13125 SW Hall Blvd. ;r) H ' Plan Review Other Tigard, o So Tigard, Oregon 97223 -- • Date/By: / 2 / to J `-I Post - Review � Land Use Phone: 503 - 639 -4171 Fax :�5 k.S Gtr irk DateBy:(. I'" 0 C. CaseNo.: g .., „ ■ �, I e! 1 Contact , '' •. 4 SA.. ali la See Page 2 for Internet: www.ci.ti ard.ortf' t r ; l s2 " ' Name th. ( Su eitt„ 24 -hour Inspection Request' �5 9 1 4�175 �l 1 Supplemental Information. TYPE OF WORK FEE* SCHEDULE (for special information use checklist) - . g construction ❑ Demolition Description ( Qty. I Fee(ea.) I Total E ..i � .. New 1- & 2- family dwellings - ition/alteration/replacement 11:1 Other: (includes 100 ft. for each utility conmection) " • • . CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1 & 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 JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: - Page 2 Job site address: g58S all. wASttwie ti+ar1 sD . eta Site Utilities . - .. ... . Bld /A t #: Catch basin area drain 6 16.60 p'`(O ( Suite #: - g P Drywell/leach line/trench drain 16.60 Project Name: WP6k*■'ttx.„1 6+ts_. - okpeE. Tx. Footing drain (no. linear ft.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 \t4C C: Orr t1'l11.,'PJU1Z• et1.10 etaeetAINVIA Rain drain connector / 0 16.60 / 44. Qo go Sanitary sewer (no. linear ft.) 36 0 Page 2 /91. 80 Lot #: Storm sewer (no. linear ft.) 3 I 0 Page 2 4/46. ao Subdivision: Water service (no. linear ft.) Page 2 Tax map /parcel #: - Fixture or Item. _.•• "..: - ` • . . • DESCRIPTION OF WORK " Absorption valve 16.60 PtDOInONI of t4E14 2 � ., WV, ctIO.cAtler Backflow preventer Page 2 A1•1[] Pt 2- 1-e lsJa., cri ep.LB' SS .S Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 6)/ El•fiROPERTY OWNER I [] TENANT Ejcctors/sump 16.60 Name: NT\'ACE R&c ti c QA14`°( Expansion tank 16.60 . Address: 4 %, LL :ArzE 6L,UC, S.uLre ?on Fixture/sewer cap 16.60 0 ( Floor drain/floor sink/hub 16.60 City /State /Zip: 5At.trA Ac tc t , CA CrOD ( Garbage disposal • 16.60 Phone: 'L5 - 8(01 - ogo( Fax: Hose bib 16.60 �ONTACT PERSON Ice maker ❑APPLICANT 16.60 N Name: -Tcco l(LK.t Interceptor /grease trap Medical gas - value: $ Page 2 A ddress: qpp FbtJgm f h1E s 100 Primer 16.60 City /State /Zip: 9eottlle wlA' etetloe{ Roof drain (commercial) 16.60 Phone: 1. Xp, Cfto(. (eo100 I Fax: 2(* (. (po41 Sink/basin/lavatory 16.60 - f - .�e.r Wag,. d lr �rV� Tub /shower /shower pan 16.60 E -mail: ��� 16.60 NTRAC'FOR Urinal Water closet 16.60 Business Name: Kmortgo S Wiiietirr Water heater 16.60 C.) Address: qZS r1uJ . tom PNE sot/G. '2W Other: Ci ty /State /Zip: cbanft.t4C, oAA. 9-noel Other: Phone: o84 S Fax:�g 2Zp, 08412 Plumbing Permit Fees* 53.22 Subtotal $ 6 D 59t • !ate CCB Lic. #: $Q' r ci Plumb. Lic. #: Minimum Permit Fee $72.50 $ Authori Resi dential Backflow Minimum Fee $36.25 Signature: Date: II 2 0 "1 Plan Review (25% of Permit Fee) $ R!o • 1 s "hOQ * tsjyJ.�_ State Surcharge (8% of Permit Fee) $ Q S • Ai (Please print name) TOTAL PERMIT FEE $ / £QQ• 940 Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans witfi isometric or 180 days after it has been accepted as complete. riser diagram for plan review. •Fee methodology set by Tri -County Building Industry Service Board. - i. \Dsts\Permit Forms \PlmPermitApp.doc 01/03 PLUMBING PERMIT FEES: • . PRICE TOTAL New 1 and 2- family dwellings only: FIXTURES (individual) QTY (ea) AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utility connection) Lavatory One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16.60 Three (3) bath $399.00 Water Closet 16.60 SUBTOTAL Urinal 16.60 8% STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.660 0 PLEASE COMPLETE: 4" 16.60 Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub /Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Urinal Other Fixtures (Specify) 16.60 Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Sink: 2" Sewer - 1st 100' / 55.00 g S. ©° 3" Sewer - each additional 100' 3 46.40 (39 . gQ 4" Water Service - 1st 100' 55.00 Water Heater Other Fixtures Water Service - each additional 200' 46.40 (Specify) Storm & Rain Drain - 1st 100' / 55.00 55-. 0 45- Storm & Rain Drain - each additional 100' g 46.40 37 is ?o Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram is required if Quantity Total is > 9 *SUBTOTAL 8% STATE SURCHARGE "PLAN REVIEW 25% OF SUBTOTAL Required only if fixture qty. total is > 9 TOTAL $ * Minimum permit fee is $72 50 + 8% state surcharge, except Residential Backflow Prevention Device, which is $36.25 + 8% state surcharge. All New Commercial Buildings require 2 sets of plans with isometric or riser diagram for plan review. i:\dsts \forms\p1m- fees.doc 08/29/01 CITY OF TIGARD . . • BUILDING DIVISION PERMIT #: PLM2004 -00444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /5/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639-4175 il�.. INSPECTION WORKSHEET FOR DATE: 6/14/2005 TIME: 7:10AM PAGE: 6 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RI:) MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC. PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503- 220 -0895 Inspection Request Scheduled For: Date: 6/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 009231 -01 503 - 810.2002 N Corrections /Comments /Instructions: / , , - ■ / ap -- or.;--- LWi (). (i(} , lam V1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i, 4 / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION - PERMIT #: PLM2004- 00444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 ti A Inspection Requests (24 Hrs.): (503) 639 -4175 s r ^'I .,. INSPECTION WORKSHEET FOR DATE: 11/1042005 TIME: 7:03AM PAGE: 87 1 1 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WA HIW .Jcai.! AQUA r l_ \i. ;ANDIGN DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503-220-0895 Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 021302 -01 503- 789 -9340 N Corrections/Comments/Instructions: / 6/) '4/ () I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ■ ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: MIA Date\ I, I Phone #: (503) 718- 1 I .. CITY OF TIGARD BUILDING DIVISION . , PERMIT #: PLM20aI -00444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 �•}iili Inspection Requests (24 Hrs.): (503) 639 -4175 .J... °_ INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 81 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503220 - 0895 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 020305-01 503 -789 -9340 N Corrections /Comments /Instructions: 1 � / i i / / 1 ' . , / / . 97 L ----(2.(t ' /(1l-PVia. \ C/jr. I 0 k ❑ PASS 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718- CITY OF TIGARD - • BUILDING DIVISION PERMIT #: PLM2004 -00444 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 i A, Inspection Requests (24 Hrs.): (503) 639 -4175 "'I INSPECTION WORKSHEET FOR DATE: 7/15/2005 TIME: 7:11AM PAGE: 1 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503-220-0895 Inspection Request Scheduled For: Date: 7J15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 011533 -01 503-810.2002 Y Corrections /Comments/ Instructions: fr 1\if \ IMW . AIWA ' ,■ ,ice . i A. 1< 6 ,4011./_ 36.- Y'-f- 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / 01i/0 Date: r ) I 11 Phone #: (503) 718- CITY OF TIGARD , BUILDING DIVISION PERMIT #: PLM2004 -00444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '1/5/2005 Phone: (503) 639 -4171 �. Inspection Requests (24 Hrs.): (503) 639 -4175 .,.! '- INSPECTION WORKSHEET FOR DATE: 7/13/2005 TIME: 7:10AM PAGE: 2 1 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503.22Q -0895 Inspection Request Scheduled For: Date:. 7/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 011328-01 503-810-2002 Y Corrections /Comments /Instructions: p\. 6 ,t „mss - ' -i __1 0- . i� i 4 000P ) ...,, / /�i i ii / / _ ■ ° "C■ 10.6111WARrr , .,,,/ NI /i ate/ / // , �i ��-e. -- - -- -PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED fr 7)-- Inspector: Date: 0/1- #: (503) 718 - L CITY OF TIGARC • BUILDING DIVISION . . PERMIT #: pl_M201 004M . "A I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639- 4175il�.. INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 2 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503 - 0895 Inspection Request Scheduled For: Date: 7/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 011166-01 503-810-2002 Y Corrections /Comments /Instructions: P /I/1 I o r 3 " ..X7., 1■W J.. i.-.._■ 1 1 1 0(a,f-A ,..., k.._....-- Ap ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / d le Date: 2(///4) ) Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION . . PERMIT #: PLM2004-00444 I A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 C :I Inspection Requests (24 Hrs.): (503) 639 -4175 "__-- INSPECTION WORKSHEET FOR DATE: 7/5/2005 TIME: 7:12AM PAGE: 1 SITE ADDRESS: 09586 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503 -220 -0895 Inspection Request Scheduled For: Date: 7/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 010754 -01 503.810.2002 Y Corrections /Comments /Instructions: 4 11 v„--r •rw4-, re, g r A,.e 17,, -{- E-P-c- it g a,r�. a _e_, Gl re a. („ ii 3 63 c k IP yc. S- L, a, ,-.4-=,. 1 t J. Vo / .c4,.- 1-c4.. ( -J- g ,,LA u , ✓e o(.. O v. : Sak'CI. 1tto...dl W. <( ' 3 03 c. IN G. C . it 1 4' -,,, a1 re• a ✓ id,/ G - ( r IVNA V \ ��, ✓-1 c t•, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Jb f-x.wi13 w•1. Date: 7l*"-/ stIC`. Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION , . PERMIT #: PLM2004 -00444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 fI Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 s-' I INSPECTION WORKSHEET FOR DATE: 7/1/2005 TIME: 7:14AM PAGE: 2 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503 - 220 -0895 Inspection Request Scheduled For: Date: 7/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 010659.01 503-810-2002 Y - Corrections /Comments/ Instructions: p /y J . • AWMO . d ,_ L i x. Ate'/ . _li , t��__ / / ,PASS El PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS � ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7 //X Phone #: (503) 718- __114,--- CITY OF TIG ARD GARD - . 41,,, BUILDING DIVISION PERMIT #: PLM2004- 00444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s' "'I I INSPECTION WORKSHEET FOR DATE: 6/27 /2005 TIME: 7:09AM PAGE: 1 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503-220-0895 Inspection Request Scheduled For: Date: 6/27/2005 Pour Time: Code # Inspection Description Confirm # Con - t # Message 340 Storm drain 010237 -01 503 -810 -2002 Y Corrections/Comments/Instructions: ,Z4- , , • p , %,- ® ..,4 X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 2 7 7. Date: Phone #: (503) 718- CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: PLM2004 -00444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 611612005 TIME: 7:10AM PAGE: 2 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503-220-0895 Inspection Request Scheduled For: Date: 6/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 009464 -01 503-810-2002 Y Corrections /Comments /Instructions: " S'¢■ ... � c c - i-r 3 �,•i ur 1 y . C 1/ 4 ■ ❑ PASS ® PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: <10 U 'e Date: (,// 6 /?' Phone #: (503) 718- CITY OF TIGARD Nlir BUILDING DIVISION .. PERMIT #: PLM2004 -00444 13125 SW Hall Blvd., Tigard, OR 97223 r DATE ISSUED: 1/5/1005 Phone: (503) 639 -4171 ' �L Inspection Requests (24 Hrs.): (503) 639 -4175 IL. INSPECTION WORKSHEET FOR DATE: 6/15/2005 TIME: 7:16AM PAGE: 3 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503-220-0895 Inspection Request Scheduled For: Date: 6/15/2005 Pour Time: Code # Inspection Description Confirm # C tac Message 340 Storm drain 009355-01 503 - 810 -200 Y Corrections /Comments /Instructions: W ti _......, _ igg -� -/ - - y O � / 1 t / 3 „7 - 2 7 6 ...._----- ------ - - ❑ PASS ❑ PARTIAL APPROVAL [, CANCEL El NC) ACCESS 111 FAIL V CALL FOR INSPECTION �'❑" ADDITIONAL FEES ASSESSED Inspector: : S 0 p Date. Ph one #: (5 3) 718 - , CITY OF TIGARD . , , BUILDING DIVISION - PERMIT #: PLM2004 -00444 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 VII Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 6/13/2005 TIME: 7:08AM PAGE: B SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Phase II. Utilities (site). Other fixtures are (10) rain drain connectors. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: HOWARD S WRIGHT PHONE #: 503-220-0895 Inspection Request Scheduled For: Date: 6/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 340 Storm drain 009103 -01 503-810 -2002 Y Corrections /Comments/ Instructions: /f IL_ t 1 / / 77() PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i77 Date: / t Phone #: (503) 718-