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Permit C ITY OF TIGARD PLUMBING PERMIT 4 DEVELOPMENT SERVICES PERMIT #: PLM2000 -00347 - i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/19/00 SITE ADDRESS: 09477 SW WASHINGTON SQUARE RD A -7 PARCEL: 1S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: 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 Remarks: Tenant Improvement - replacing lavatory, water closet, floor drain & water heater FEES Owner: Type By Date Amount Receipt PPR WASHINGTON SQUARE LLC SPOT CTR 9/19/00 $5.31 27200000000 BY THE MACERICH COMPANY PRMT CTR 9/19/00 $66.40 27200000000 ATTN: JANET FISHER, ASSET MGNT SANTA MONICA, CA, 90407 Total $71.71 • Phone 1: . Contractor: - ANCTIL PLUMBING INC 16900 SW MERLO RD BEAVERTON, OR 97008 REQUIRED INSPECTIONS Phone 1: 503 - 642 -7323 Rough -in Insp Reg #: LIC 00000241 Final Inspection PLM 26 -162PB 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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. Issued By: I . p/ - m p/ Permittee Signature: 6 � ., Call (50 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF,.TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By Alta TIGARD, OR 97223 Date Rec'd� d ''' r + (503) 639 -4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Pennn #fC /t "� C.:�- 1 -17 Incomplete Related SWR # �iJMi f 6d1 ! ' °Das, Called Name of Development/Project FIXTURES (individual) . ` QTY 'PRICE ; . AMT Job i.a.I is - 1.36.„ <I4,LATh.,. 5gL)Z.v4 Sink - - Address Street Address Suite Lavatory / ...1460 , 6 0 MI 5u) (, )1S14,; 0nb. . Q,I . Tub or Tub /Shower Comb. 11.50 Bldg # City/State Zip Shower Only 11.50 Name Water Closet / 450 /t,,4 Urinal , 11.50 Owner Mailing Address Suite Dishwasher 11.50 Garbage Disposal 11.50 City/State Zip Phone Laundry Tray 11.50 Name Washing Machine /Laundry Tray 11.50 Floor Drain/Floor Sink 2" / _...14c5e- /6,6,0 Occupant Mailing Address Suite 3" 11.50 6 4" 11.50 City/State Zip Phone Water Heater 0 conversion 0 like kind / Name i I II Gas piping requires a separate mechanical permit. / COQ f0� /V )r t t Q 1(J 01/4, ,�tAL- . MFG Home New Water Service 32.00 Contractor + Mailing Address ,./ Suite MEG Home New San/Storm Sewer 32.00 I c400 Sul Aorta 2a. Hose Bibs 11.50 Prior to permit City/State Zip Phone Roof Drains 11.50 Issuance, a copy Drinking Fountain 11.50 of all licenses are Oregon Const. Cont. Board Lic.# Exp. Date 15.00 required if 2q 1 Pt c� / Q t Other Fixtures (Specify) expired in COT Plumbing Lic. # Ex . Date database 2 (o - I (02 eg 6/3o( 01 Name Architect Sewer - 1st 100' 38.00 or Mailing Address Suite Sewer - each additional 100' 32.00 Water Service - 1st 100' 38.00 Engineer City /State Zip Phone Water Service - each additional 200' 32.00 Describe work to be done: Storm & Rain Drain - 1st 100' 38.00 New 0 Repair 0 Replace with like kind: Yes No 0 Storm & Rain Drain - each additional 100' 32.00 Residential 0 Commercial Commercial Back Flow Prevention Device 32.00 Additional description of work: Residential Backflow Prevention Device* 19.00 Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp. of Existing Plumbing or Specially Requested 50.00 Yes g No 0 Inspections per/hr If yes, see back of form to indicate work performed by Rain Drain, single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application, that the information Isometric or user diagram is required if Quantity Total is > 9 given is correct, that I am the owner or authorized agent of the owner, and *SUBTOTAL Q that plans submitted are in compliance with Oregon State Laws. S natu %Owner/Agent A / Date , O 8% SURCHARGE ' 37 Contact Person N e P • na O rL h. 8 0 0 t-,', 6 2-2,z **PLAN REVIEW 25% OF SUBTOTAL Required only A fixture qty. total is > 9 1 BA HOUSE 7800 ' ° -= - i TOTAL �� 9 li"aCI • O 250. E ..F;, kJh' a. * OUS \: 00 , ( i7 LC ud : . umb + j , u r trod Q : elli nd . 'Minimum permit fee is $50 + 8% surcharge, except Residential Backflow Prevention zn .. nllta /E r ::: tX,i V 7 i i ': ; j ri J it 1) Device, which is $25 + 8% surcharge "AII New Commercial Buildings require plans with isometric or riser diagram and plan review. L dstsVormslplumapp doc 11/18/99 PLEASE COMPLETE: Fixture Type,, by WorkPerform,�ed " .. L New; ' Moved `I `4Repla ed R oved /Capped Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain /Floor Sink 2" 3" 4" Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: • 1:ldstsVormMplumapp doc 11/18199 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639-4 BUP - Date Requested /D v AM PM BLD Location 699 y 7 7 5 w 416 S't - Suite 4 -7 MEC Contact. Person Ph 50.3 ‘ 7$Z3 PLM j 4 • a o 3 7 Contractor Ph SWR BUILDING . Tenant/Owner s, ELC Retaining Wall ELR Footing Access: • Foundation FPS Ftg Drain SGN • Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing • Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL Po Water Service Sanitary Sewer Rain Drains Fin PART FAIL MECHANICAL Post & Beam • Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer - Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date 6/ 4 7 4' Y Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 . / BUP �►rriG —0° �3l Date Requested /6 - . 2 - AM PM v BLD Location 0 9 (1 ? s IA' &G S i t • Ad' Suite MEC Contact Person CZ-4 �- 7 Ph 527- l fO -.36,57 2 4.ri - t 13 Contractor Ph SWR s UILDING Tenant/Owner - ELC Re. -ining Wall ELR Foo 'ng Access: Foun ation FPS Ftg Dr.'n SGN Crawl D -in Inspection Notes: Slab SIT Post & Bea • Ext Sheath/ - : r Int Sheath /Shr :r Framing Insulation Drywall N. ling Firewall Fire Sp' nkler Fire A.: rm Sus. d Cello • r._ - . - . FAIL LUMBj� �`''ppIost & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains INY ASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final • PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA • Approach /Sidewalk p Other D Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.