Permit CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PES PLUMBING
P PERMIT
�� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/16/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09318 SW WASHINGTON°SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS: 1 TRAPS:
STORIES: WATER HEATERS: 1 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 Description Date Amount
BY THE MACERICH COMPANY
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 9/12/2005 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 9/12/2005 $5.80
Phone : Total $78.30
Contractor:
MODERN PLUMBING
11120 SW INDUSTRIAL WAY REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone : 503- 691 -6166
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 By: Permittee Signature: s
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.
09/09/2005 12:17 5036916771 MODERN PLUMBING PAGE 02
_ " '10/4.212004 15:34 FAX 50369$1960 CITY OF TIGA,RD IaJUUd
91/ G)\C 's .`
null>lwbf g. WfAit AD1DEfestimn FoR OFFirF USE ONLY
City of Tigard = � ' 0 listens! — _0 vermitNo /6 ' c/
13125 SW ilsll Blvd.. Tigard, OR 9=3 F tai Series/ Other Penal Ne.: L - 446,
Pbanc 503.639A171 Pax: NIT. .i.M.1960 , • , r, . 1 1 , Owes ' Z
24- Hotr Inspection Ltuo: 503.639A1T5 SEP 0 9 -.-14. i Sa B , , to wed tarsrtea iron
Unmet onvw.oi•tlpta+Ltene •
d r.• • tv : p . y,�1 /i i l sr r ,I v M ; i I , ;t `1 - P , M.' '. i , T le ;'r - Y; �. + a ' ,
' , ,'I f';`(Il ,4- .....N 1%. ' pt.mA Z[ :alIii'G.� '' • fiArs ; . I Q(If4r+ tar
CJ New construction BU[ " a • Due , , on .�, WI. Total
Addit#ou nitp' 0 Other: Neve 1.2-1 miry dwellings (includes 100 11, iy• eath taut/ colmeatlon)
' •;1' !l` i 0.l ; tj; . � ! ! M' l� r. .?! , . c• r1 M • C I� 7 ' 511 ., i 11 - , I :' {�� 15, `SFR (I) 249.20 M.
Q 1 and Z-f�tt dwelling �Co�aoialHml.mvial SPA (2) bath
SFR (3) bath 399.00
Accesony buildin m £etd additional bath/kitchen A S , �
A Manor bonder In oth. rite sprin (._� sq. I ) Page 2 �---
L y y � } � ERR
I nf:. :J • =.i: .1rJ,'i:+ jvin �'u.l�i� ,U'e ' _t 1. S1telllilld@5 •
Fob sire add,, p r dr' Catch basin or area drain 1660
City/State/ZIP: • a r d O nrrnea, Thoth tine, or trench abate► , 1640
Footing drab (no. linear _ Fagtl 2
9ttitell9,lgJalrt ate : ?tq[eCt am= L r_ . C�. 1
j��pytpQ ho¢aa utilities
Class tureet/diroctions to job site: miaow 16.60
Rnb1 drain aa,mectnr 16.60 �--
_
Sanitary rawer (nor. linear ft: —..) Page 2
Page 2
Subdivision: Lot no,: water service OW- lineal ft.= —.) Fagg 2
T a x map►+ptloel 1 1 1 0 - 1 S \ � CO i - 0030 t) ,A htrrpti on valve 16.60
�L,' "� T ,..-:1'.: , ... '�a, r' e : ,.: , .. ,',I* ' RK' i° • t . R. i,i .. ' . y Backnow nreventer ag
In 0.• V' # I rr■ •rove e n,0' Backwater valve 16.60
Clothes wester 16.60
Dlthwssher 16.60
Qp [ I_ M n Mkin f4lmtttin 6l .60
p K r'9�F r, °' j7:a . �:� �� !I P "�b nil I v h ^' Dr
i 'i2 t3rr4 16.66
1' �Y
Nam Bxpsmat® tank 16.60
Addams; • Fixture/mum taw 16,60
aRY /8tate/Z1P Saar dra m/tlaor sink/hub i 16-60 l [Q & C .
16.60
16 w
pp��'i
Plum ( ) Bas: ( ) des l6 0 Mee bib
i111�16;N SIT [ 14o'er :h.. ®• 0;
. .u • ~ .. e „•ti'n p} ` tae
. maket
' .
fluidness name! i lnr�* et�ta� liatasc »�P 16 60
Comet swum medial] gas (value: 5 ) page 2 -----
Primer 16. �
Address: -- R dra (cmmne+sial) 16.60
� � ' Sink/basin/Invamry 1 16 [. lo ( n
8ltamc: ( ) I Fax; : ( ) Tub/theaer /shower Pa 1660
16,60
'�.rmlt•1: .. i 2 pew ' •x� �. 6 yd: "' i i'•l• • 1 i�:, • ;
v : l :� y ir A- t
����Iq,,; � i—y anti. L' •nl,LA .-,e�. '•i d9" I:a':.'C '•i ,..r4 .:• �,;`.. v:woo:et [ .64 � (0
16� (, C
'' "':ir'I'1'�C "�' • "' =�4r� �'4 °1;�h��h,�n I C�' ;"�• . A h . ,- i.: ice'•';••. ry
SitSiness name: I4..i •. a , J , i b _ i . water beater .
Address: 20 it.. . is l Other
Subtotal ( .
My/Stet/ZIP: I ` 4111 ii • a 0 i Minimum permit
lee 3!R 30
Residential backtlow minimum pemut fee: 53635 --
Plrnne: 0 ) �� — . ,, • pout ( ► r ° — 4 I ' pine review (2594 oipesrnit i�ra)
CGS Lie.: Lac. no.: — Z� O p State urtaharge (8% oPpermit fee) 1.5 1
A utxtorized signature: t TOTAL PERMIT FES
Paw-riff' ' Os— Thi. Permit ny9Geation empires if a permit is not obrsiaed within
E== ii Pi I �'CQ e ∎� . ail 180 days niter it has bean accented as complete_
■ *Fee methodology set by T ounq Building Industry Service Boafd-
busuefi ...wr_ba DamitAppahm
D. ,ass 440451Gr(1O/ _ M/WEn) / �` 3 0
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
PLM2005-00454
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
9/16/2005
Phone: (503) 639 -4171 .,
Inspection Requests (24.Hrs.): (503) 639 -4175 �!'
INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7 :08AM PAGE: 71
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION:
09318 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: CHICO S
T.I .
OWNER: WASHINGTON SQUARE LLC.
PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE # : 503-691-6166
Inspection Request Scheduled For: Date: 9/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 016983 -01 503-572 -4411 Y .
Corrections /Comments /Instructions:
p j\i\
•
❑ PASS RTIAL APPROVAL - ❑ CANCEL ❑ NO ACCESS
n FAIL 1,1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: %. Date: Phone #: (503) 718 - _ \_n_i_b____-._ ,
CITY OF TIGARD
BUILDING DIVISION ( 4 PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: PLM2005-
Phone: (503) 639 -4171 4o1 0ii 91'ifJ2005
Inspection Requests (24 Hrs.): (503) 639 -4175 11-
INSPECTION WORKSHEET FOR DATE: 9/30/2005 7:05AM 7:05AM PAGE: 15
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 09318 SW WASHINGTON SQUARE RD LOT #: TYPE OF USE:
PROJECT NAME: WASHINGTON SQUARE
DESCRIPTION: CHICO'S
T.I .
OWNER: WASHINGTON SQUARE LLC.
PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503- 691 -6166
Inspection Request Scheduled For: Date: 9130!2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 017127 -01 503-572 -2179 N
Corrections /Comments/ Instructions:
k..,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , i) ( 6 1 7 iI 2 Date: Phone #: (503) 718-
. r , i... . '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00454
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: 10/5/2005 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHICO'S
DESCRIPTION: T.I.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166
Inspection Request Scheduled For: Date: 10/5/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 017526 -01 503-572 -2179 Y
Corrections/Comments/Instructions:
S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / C15 S p/ Phone #: (503) 718-
CITY OF TIGARD
C G
BUILDING DIVISION r PERMIT #: PLM2005-00464
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005
Phone: (503) 639 -4171 '�l
Inspection Requests (24 Hrs.): (503) 639 -4175 °-
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 66
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RE) CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHICO'S
DESCRIPTION: T.I.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503- 691 -6166
•
Inspection Request Scheduled For: Date: 10/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 019520 -01 503 -572 -2179 N
Corrections /Comments/ Instructions:
•
•
•
❑ PASS ❑ PARTIAL APPROVAL VLCANCEL ❑ NO ACCESS '
❑ FAIL ti-2ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/i
Inspector: Date: (/// Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005.00454
13125 SW Hall Blvd., Tigard, OR 97223 I ' DATE ISSUED: 9/16/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 41
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHICO'S
DESCRIPTION: T.I.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 - 691 -6166
Inspection Request Scheduled For: Date: 10/31/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 019840-01 503-512-2179 Y
Corrections /Comments /Instructions:
❑ PASS PI PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 3 LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
\\ Inspector: Date: / - • Phone #: (503) 718 -
. CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00464
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005
Phone: (503) 639 -4171 A l'
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I..
INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 35
SITE ADDRESS: 0931E SW WASHINGTON SQUARE RD • CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: CHICO'S
DESCRIPTION: T.I.
OWNER: WASHINGTON SQUARE LLC. PHONE #:
CONTRACTOR: MODERN PLUMBING • PHONE #: 503 - 691 -6166
Inspection Request Scheduled For: Date: 11/2/2006 Pour Time:
Code # • Inspection Description Confirm # Contact # Message
399 Plumbing final 020129 -01 503-572-4411 Y
Corrections /Comments /Instructions:
I
9 Iv,
1
6 7/17. .. „; e r - P 9
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2005 -00454
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005
Phone: (503) 639 -4171 q
Inspection Requests (24 Hrs.): (503) 639 -4175 " -_..
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 49
SITE ADDRESS: 09318 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: •
PROJECT NAME: CHICO'S
DESCRIPTION: T.I.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166
Inspection Request Scheduled For: Date: 11/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 019993 -01 503.691 -6166 Y
Corrections /Comments /Instructions:
) 1\
.1 -4ice
❑ PASS 1I = -TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1/1 I P Phone #: (503) 718 -