Permit (off Pi 4 .,.e.-� dz �i `: . ��^
� � PLUMBING PERMIT
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t ., C1 OF TIGARD
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00522
TIGARD 13125,SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/26/2007
PARCEL: 1512600 -00300
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: BINYON'S
Project Description: (1) sink 12/21/07, THIS SINK IS A RELOCATED SINK, NO CHANGE IN EDU'S. NO
ADDITIONAL CHARGE FOR FIXTURE.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
WASHINGTON SQUARE LLC Amount
BY THE MACERICH COMPANY Description .. - -- - Date - - =s= ;
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 11/26/2007 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 11/26/2007 $5.80
Phone : Tot $78.30
Contractor:
TAPANI PLUMBING
21707 NE 206TH AVE
PO BOX 1458 REQUIRED ITEMS AND REPORTS
BATTLE GROUND, WA 98604
Contact # : PRI 206 - 687 -3983
Reg #: LIC 60958
PLM 37 -269PB
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 direcquestions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue By: t1, _ / iii/ ..,_./ ( Permittee Signature)
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.
f «.r ‘ ._ . # i s up -.:;00-) -°" 505 lSi 0 0 300
Plumbing Permit Applicati ow- FOR OFFICE USE ONLY i
y
Received
I - City of Tigard 2 7 Date /By G l a.G/O Pe m " _ �-
II • 13125 SW Hall Blvd., Tigard, OR 97221, U 2 V 6 Z001 Plan Review r/ 1 i
Phone: 503.639.4171 Fax: 503.598.1960 Date/By Other Peanut m/ 4, ' / i
T I G n R D Inspection Line: 503 639.4175 CITY (Ji- I IGA. D Date Ready/By tuns I El See P: ge 2 for
Internet: www.tigard -or.gov SKIMP Priikkri Notified/Method. Supplemental Information
TYPE OF WORK 9YV l 1� FEE* SCHEDULG4 1 ..004J
New construction ❑Demolition For special information use checklist `_
Description I Qty. I Ea I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
'i CATEGORY OF CONSTRUCTION SFR (1) bath 249.20
41- and 2- family dwelling El Commercial/industrial SFR (2) bath 350.00
❑ Accessory building ❑ Multi - family SFR (3) bath 399.00
Each additional bath/kitchen 45.00
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities
Job site address: ' q'y q 9 J id !, i , J u c v t 61, Catch basin or area drain 16.60
City/State/ZIP:TI 7 4,,,,i (D 7 7Z" Drywell, leach line, or trench drain 16.60
Footing drain (no. Imear ft.: Page 2
Suite/bldg. /apt. no.-4f ---8i 1 Project name: g; hY"'`)
t S E ��, 630,744
Manufactured home utilities 110.00
Cross street/directions to job site:
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: ) Page 2
Subdivision: I Lot no.: Water service (no. linear ft • ) Page 2
Fixture or item
Tax map /parcel no.: Absorption valve 16.60
DESCRIPTION OF WORK Backflow preventer Page 2
p) 0 `,„ i . , ryl-c L AV Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
lik Drinking fountain 16.60
PROPERTY OWNER I 0 TENANT Ejectors/sump 16.60
Name: Wets tt Oh - S itot. V^ � 1_LC Expansion tank 16.60
- Address: 9D- -SS „s ( -v c ck&kot 0 k , , 5 r.cl Fixture/sewer cap 16.60
City/State /ZIP: -C a i
i OP - J ( 7 ',3 Floor drain/floor sink/hub 16.60
Phone: (5D 7 3 $ $ ( P - - Fax: ( ) Garbage disposal 16.60
X APPLICANT ❑ CONTACT PERSON
Hose bib 16.60
I 1 n Ice maker 16.60
Business name:--7-ii 1 Q h ' p ' V G I K) . T C. Interceptor /grease trap 1 6.60
Contact name: Caps ( H O O(c\ Medical gas (value: $ ) Page 2
Address: p t '.� g e;, Q 3 va Primer 16.60
City /State/ZIP: t -� r �. b drain (commercial) 16.60
Q� -e C r� �KG� -�� , B � 4 Roof dr
Phone: (,360) (0 $ - 3 9 p "3 Fax: : (36S) ( l - V1/414k
Si i • i • vatory l 16.60
Tub s ower /shower pan 16.60
E -mail: Urinal 16.60
CONTRACTOR Water closet 16.60
Business named, „ Gui ' (2( Lt N. i 61 ' Di C Water heater 16.60
Address: g, 0 5 0 Other:
City/State/ZIP: gait (e Gi. z 4 GO el, ° $boo Subtotal
Minimum permit fee: $72.50
Phone: (360) L earl -- 31 $'s Fax: (360) Lg - ?- 4¢94 Residential backflow minimum permit fee $36 -25 7 ,2.
Q �� I p
CCB Lic.: to 0 q 5 D Plumbing Lic. no.: 3 gb l I9/3 Plan review (25% of permit fee)
Authorized signature: c , ( es State sur (8% of permit fee) S�
Lt TOT AL PERMIT FEE
Print name: Lam t VA(' tyke, c , \ Date: (( -'1 b- 0`7 This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1.\Budding\Pemuts\PLM- PermitApp doc 06/26/06 440- 4616T(10/02/COM/WEB)
' Plumbing Permit Application - City of Tigard Ar ,"
Page:/ - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee:
Footing drain - I '' 100' 55 00 ' 0 to 2,000 $115 00
Footing drain - each additional 100' 46 40 2;001 to 3,600 $160 00
Sewer - 1st 100' 55 00 3,601 to 7,200 $220 00
7,201 and greater $309 00
Sewer - each additional 100' 46 40
Water Service - 1st 100' 55 00
Medical Gas Systems:
Water Service - each additional 100' 46 40
Storm & Rain Drain - 1st 100' 55 00 Valuation: Permit Fee:
$1 00 to $5,000 00 Minimum fee $72 -50
Storm & Rain Drain - each additional 100' 46 40 $5,001 00 to $10,000 00 $72 50 for the first $5,000 00 and $1 52 for each
Fixture or Item Qty. Fee (ea) Total additional $100 00 or fraction thereof, to and
including $10,000 00
Commercial Back Flow Prevention Device 46 40 $10,001 00 to $25,000 00 $148 50 for the first $10,000 00 and $1 54 for
Residential Backflow Prevention Device each additional $100 00 or fraction thereof, to
(minimum permit fee $36 25) 27 55 and including $25,000 00
Rain Drain, single family dwelling 65 25 $25,001 00 to $50,000 00 $379 50 for the first $25,000 00 and $1 45 for
Inspection of existing plumbing or each additional $100 00 or fraction thereof, to
specially requested inspections - per hour 72 50 and including $50,000 00
Subtotal: $50,001.00 and up $742 00 for the first $50,000.00 and $1 20 for
each additional $100 00 or fraction thereof
Fixture Work: Plan Review for Plumbing Installations
Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following.
please indicate work performed by fixture. Failure to Please check all that apply
accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and
Quaoti by (Fixture) Work Performed greater, except systems designed and stamped by licensed
Fixture Type: Rfplace engineer
Previous Capped Added t istiog ❑ New exterior plumbing site utilities for any complex structure
Baptistry/Font as defined in OAR918- 780 -0040.
Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities
- Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system.
Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040.
-Drive Thru
Cuspidor /Water Aspirator Submit 2 sets of plans with of the above.
Dishwasher - Commercial P any
- Domestic
Drinking Fountain Isometric or Riser Diagram
Eye Wash ❑ Isometric or riser diagram is required for new buildings
Floor Drain/sink - 2" that meet the qualifications above.
-3"
-4"
Car Wash Drain,
Garbage -Domestic Comments regarding fixture work:
Disposal - Commercial
- Industrial
Ice Mach /Refrig. Drains
Oil Separator (Gas Station)
Rec Vehicle Dump Station
- Shower -Gang
-Stall -
Sink - Bar/Lavatory
- Bradley *Note: if the fixture work under this permit results in an
- Commercial � increase of sewer EDUs, a sewer permit will be issued and
- Service fees assessed for the sewer increase must be paid before the
Swimming Pool Filter plumbing permit can be issued.
Washer - Clothes
Water Extractor
Water Closet - Toilet
Urinal
Other Fixtures
•
\Bu id'ng\Permits\PLM- PermiiApp doc 12/27/06
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: PLM2007-00522
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2077
Phone: (503) 639 -4171 Y
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/21/20Q7 TIME: 7 :03AM PAGE: 42
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: [ INVON'S
DESCRIPTION: (1) :ink
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: TAPANI PLUMBING PHONE #: 206. 687 -3983
Inspection Request Scheduled For: Date: 12/21/2007 Pour Time:
' Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 062034-01 360 -601 -0000 Y
Corrections /Comments/ Instructions:
4 Ol ek Ca o 0E6 T P t `..-L ( 1P.t.v J 1 /fi t'
A/c 140 t
SL 1. L E
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Nt FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �A/V/ iA/Uh--- Date: P42-1/1/0 7 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: PL.l 2007 -0G 22
13125 SW Hall Blvd:, Tigard, OR 97223 DATE ISSUED: 1112612007
Phone: (503) 639 -4171 �j� -
Inspection Requests (24 Hrs.): (503) 639 -4175 F _, _.
INSPECTION WORKSHEET FOR DATE: 1/12812007 TIME: 7 :00AM PAGE: 33
SITE ADDRESS: 09499 SW WASHINGTON SQUARE RD A01 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: - 3Jf YON'S
DESCRIPTION: (1) sink
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: TAPANI PLUMBING PHONE #: 200687 - 3903
Inspection Request Scheduled For: Date: 11/2812007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 060381 -01 360.772 -2687 Y
Corrections /Comments /Instructions:
F cZ e� -�r�u ✓` i..J \n,--e.k 1� r 4 - v0 , .� C0/4" `ft■ra
0 v M 1' S Coy 1° k. A-ok A c o PE s ; Pqv- v,' ►,
•
•
•
•
PASS yi PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ;��� �`^� Date: I` j 24 1 D 7 Phone #: (503) 718-