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Permit C ITY OF TIGARD PLUMBING PERMIT * DEVELOPMENT SERVICES PERMIT #: PLM2005 -00456 ± 11- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/16/2005 PARCEL: 1S12600-00300 SITE ADDRESS: 09336 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 : 503 639 - 8865 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: ") ‘42/ 7 Permittee Signature: _ cv,,N • 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 12:28 5036916771 MODERN PLUMBING PAGE 02 r � `t _ ,, 0/12/2004 ill: 34 FAX 6035081960 CITY OF TIGARD Q003 33( L X5\-- s0► - Ylnptbinggettmit,AnolleatleO FOR oFFIcE I ONLY J r -- -•� ltd � ltktrm'tNo,l � 'ofd ���6� , ,, 7 a � '�- _ _. 13125 Sw Hail Blvd., TIBIA OR Plan Reviser p petautNa ,Y J ' ebone:503.639A1'Tt FOX: 503.596.1960 - y: 24. Hour Inspection I 503.639A175 SEP 0 q 2,., ,j- : ° °- '��� � Y mla Supplemental see r'alio � nor talbr hire nc w w ci- 1i�ed.or rla Ko:Imd/MeArod'_ II � maIan , �, . I V r.tat.�.r� •: ;4r n ,. °, � �.} .-,9q... .61 r.1 Ste' 1t + a ,ly ,� ff F d' •J t i i I `I I t r»:: , ° '_ : � . � i'�t %' yl' ;6`, ; I ' .:i I ` ' a�' °' .r : • ' I,r, r1ti`(IF ��I '.� °' E � n'il 'i�.��t'�G7411" Cr,d l �llfide nauah4ad" Forrpsa)nI� ❑ New ootrtrecarao BU L Imo) : N Total Deecr o n Q�. f 3a�__ Addltioo/elteradon/repacemlant Q Other: Nee I. Mammy dwellings (includes 100 ft. far each utility eermrsdOa) I� rl,l �'''h0it4 gift. '' ..R1 of ' "3, + if7S�, t ��' � , stn(1) bath I .,-,.- o 1- and Mandy dwaUing ,rCpunnetrAat/i,alustrial SFR (2) bath • .. 4 AI bid1ng ©� s>�xxcs) bath . . 399.0 Each additional bathfleit 45.00 El Mace! Mar in Other: Fire apriniticr (_ sq, ft.) Page 2 1 "le f %•.": ;:. °, :I,i ;6' r. ti o��1r �l c n; ,ivlr tln o)i ;1t : 5•. i lu.�iw 6N< Site I1St1NN a &. ' .� � 1. 16. BfY107.unarla}ir,� �'VY7 .Y.� • •!' : a�tl �e. . Catch basin or area drain 16.60 ' - ' a r • 416 DrYwe11, leach the, or beach drain . 16,60 Footing dram (no. lines. it-: _.J Page 2 Prelim earn U �1 " ,4e. Jet o ise k.raci. K 110 age hultut turce mats utilities Ctooa street/dined= to job cite: Manholes 16.60 Rain drain coimecw 16.60 Ssttlrsty rawer (no, linear ft.: _J pap 2 Stone sewer (nm linear ft; „) Pago 2 , S'1ibd1Vl6(elrl: �t rm : wog sa mow (no. linear f .: � Per . - �. �• Moro or Item r m>a sl ao : S 1 02. do- • 1 3 4v ` Absorption valve X6.60 �.ttirli' - e , r.:7' PMl':. M;f'I ':f4•' Backflo z • k a B ackwater vulva 16.40 Cloths washer 16.60 Didototba 16.00 Drinking Thames _. s'`'` rT{TM,. 'rV: i` Ij} V t- ,Ii- ; � • r 0'. . �� iird y '':' �fCClols/a ► 16.V0 EIIIIIE lw� i n mnk 1 16.60 Fixture/muff cep vO■mdm.■ nor /floor stnleibeb I 1640 J ( V 0 Garbage dlaposel 16.60 Fa { ) P Hone bib 16.60 tm: �wrr" �q 'I'r �. I n � ca 1 t . ���.. +P VIM,. wQan �)1" 1;'1 •.r•.. , qPI �'L'1 .. '�, * I ,', tm rrp l ra 16,60 gu>eimeap =net 1 Gsare epter/gersvr tap 16.60 - Caomet 1tanlC Medical gas (value: 5 ) Page 1 16.60 Address: Pdm � Reef r (C�mnerctal) 16.60 Slnk/bsaintlayst rY I6.60 ° Phone: ( ) Flax:: ( ) Thb /ahowerfsltowernan 16.60 _ _ E -mat7: �- q Uto�l 16.60 f� i� !� ht Fe-: �' ... rIr . r ` i • 7= .a1.,:Q . t6 - `� 7 �- :ao` ' ^fir. r �' i ' Q: t i r .i: 4gi;P °ti"� s 1.' Water aloset � _ Iii Weber heater - 16.60 CDT Elusions name: E a s , i J � , f l ... � n - Address: T i 8 _ tl 1; . ._a a ► . Subtotal ,] - , Ctty/SrstelZiP: 1 1. a . ,�' 1: ! • a . 9 , , minimum P amft tee: S t , 0 per 613 koci l - UP lljto Pax: ( MD 10q4 - (Q' E . Residential bacldlow minimum permit fee: 536.25 Ylan eeview (ZS %ofP�"eRe) CCIS I,jc.: ► -� 14.11! „ $ LW ea: - ' Safe aurdtarge (S% of permit fee) n. 51 Authorized signature: �� 4 TOTAL PERMIT FEES Prirn Date: 9 O 'a'h uppltaaelen aping if permit is not obtained within _ ame De ems e s ' t N daps after it has been accepted as sderaPMC • +Tee methodology set by 'Iti- County Building bdoetry Service Board. 414. a�. 't•RM4ea$Appdo. I2 4-4iel6tfreA111gQivIR1Ji1 IO CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00456 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639 -4171 l Inspection Requests (24 Hrs.): (503) 639 -4175 ti INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 44 SITE ADDRESS: 09336 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WHITEHOUSE BLACK MARKET DESCRIPTION: Ti. OWNER: WASHINGTON SQUARE LLC. PHONE #: 503 -639 -8865 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 019998 -01 503 -691 -6166 Y • Corrections /Comments /Instructions: l • ri PASS NP:RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: '2) Date: I ) )714_ 1 ' Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005.00456 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639 -4171 V Inspection Requests (24 Hrs.): (503) 639 -4175 „ •^'I I., INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 31 SITE ADDRESS: 09336 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: • TYPE OF USE: PROJECT NAME: WHITEHOUSE BLACK MARKET DESCRIPTION: T.I. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: MODERN PLUMBING PHONE #: 503- 691 -6166 Inspection Request Scheduled For: Date: 10/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough -in 017743 -01 503-572 -2179 Y Corrections/Comments/Instructions: • PASS ❑ PARTIAL APPROVAL , ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ct . � Date:rb ! � A Phone #: (503) 718 - l6 CITY OF TIGARD , BUILDING DIVISION PERMIT #: PLM2005-00456 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �ron I ti 9/1&2005 Inspection Requests (24 Hrs.): (503) 639 -4175 'L INSPECTION WORKSHEET FOR DATE: 9128!2005 TIME: 7:08AM PAGE: 42 SITE ADDRESS: 09336 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WHITEHOUSE BLACK MARKET DESCRIPTION: T.I. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8865 CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166 Inspection Request Scheduled For: Date: 9/28 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 Plumbing undersiab 016848 -01 3.572 -4411 Y Corrections /Comments /Instructions: G q3q 0 • . . , ., . 410-RAss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED ."' Inspector: Date: i i Phone #: (503) 718- . t .. r r CITY OF TIGARD BUILDING DIVISION PERMIT #: PLM2005 -00456 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/16/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 36 SITE ADDRESS: 09336 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WHITEHOUSE BLACK MARKET • DESCRIPTION: T.I. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639 -886 CONTRACTOR: MODERN PLUMBING PHONE #: 503-691-6166 Inspection Request Scheduled For: Date: 11/2/2005 Pour Time: p q Code .# Inspection Description Confirm # Contact # Message 399 Plumbing final 020128 -01 503 - 572 -4411 Y Corrections /Comments /Instructions: • . 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 01`01-1 Date: Phone #: (503) 718- ,