Permit > n
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00374
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/22/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H - 8,9 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: RUEHL
Project Description: Building fixtures: Other fixtures: (1) drinking fountains, (3) primers.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: B FLOOR DRAINS; 3 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 4 OTHER FIXTURES: 4
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: • FEES
WASHINGTON SQUARE LLC D
BY THE MACERICH COMPANY Description Date Amount
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 8/22/2007 $262.20
TIGARD, OR '97223 [TAX] 8% State Surcha 8/22/2007 $20.97
" Phone : Total - $283.17
Contractor:
ANCTIL PLUMBING INC
16900 SW MERLO RD
BEAVERTON, OR 97008 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 642 -7323
FAX 503- 642 -7755
Reg #: LIC 24184
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 -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: 122,chtedt. Permittee Signature: 4 ate
Call 503.639.4175 by 7:00 a.m. for 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.
8 -2007 11: 02A FROM: ANC5= N G �/ i � A) O: 503581960 P. 2
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Plumbing Permit Aiming!' I ►I( u1 I It t .l t►.l ,
City I of ���� � -
1) 12 SW Hell and Blvd., Tigard, OR 97223 AUG 1 O mde , /�107 • t Nor -Od3 74/
Phone: 503.639.4171 Fax: 503 598.1960 UG 11 1 Plan ° aher Permit SV Q� "olo
24- Hour Inspection Line: 503.639.4175 '"� f
Internet www.tigard -a.gov CITY OF TI r ,, 1 ' Y1r ' I. 04 R ea d y / B y 1u pia See Pagel far
Notified/Method I Sapplesest.11atermattoa
' " F •- TYPE IMUitioal n tPtAl 1 FEE* SCHEDULE''' If i.- ;ti'ti;' , ` ;-
CI New construction ❑ Demolition For special information use checklist.
Description I Qty. I Ea. I Total
addition/alteration/replacement ❑ Other: New 1 mily dwellings (includes 100 f . for each utility connection) '.
''' t ej ±' i ' ` i '` I- CATEGORY OF CONSTRUCTION'' ~'`e A ' ., SFR (1) bath 24920
❑ I - and 2 -family dwelling commerciai /industrial SFR (2) bath 330.00
❑ Accessory building ( ❑ Multi - family SFR (3) path 399.00
ID Master builder Each additional bath/kitchen 45.00
❑ Other:
Fire sprinkle ( sq. ft.) Page I
JOB SITE INFORMATION AND LOCATION . 4 Site utilities
Job site address: 45 M115 S v-0 (A,bts f( . S CLu re Taff Catch basin or area drain 16.60
City/State/ZIP: ( 46.1 4 -/ 1)rywcll, leach line, or trench drain 16.60
Suite/bldg. /apt no.: H -a$ 1 Project name: ? U e H L Footing drain (no. linear 11.• ) Page 2
Manufactured home utilities 1 10.00
Cross street/directions to job site:
Manholes 1660
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Storm sewer (no. linear ft.: Page 2
Subdivision: l Lot no.:
Water service (no. linear R.: • ) Page 2
Filature or Item
Tax map/parcel no.:
7 , Absorption valve 16.60
;,40,1 s r, DESCRIPTION OF WORK Back flow preventa 7 two Page 2 14 Vr0
p Backwater valve 16.60
I Clothes washer 16.60
Dishwasher 16.60
JV •
(] PROPERTY OWNER I 0 TENANT Drinking fountain / f 1660 Ejectors/sump 16.60
Name:
. Expansion tank 16.60
Address: Fixture/sewa cap 16.60
City/Slate/ZIP: Floor drain/floor sink/hub 3 II - 3 16.60 79. 0
('hone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT 0 CONTACT PERSON (lose bib 16.60
Ice makes 16.60
Business name: Interceptor/grease trap 1660
Contact name: Medical gas (value: S ) Page 2
Address: Primer I/ 3 16.60 49.go
City /State/ZIP: Roof drain (commercial) 16.60
Phone: ( ) I Fax: : ( ) Sink/basir lavato 3 16.60 g',�v
E-mail: Tub /shows /shower pan 16.60
Urinal 16.60
CONTRACTOR Water closet Z, 16 60 33 . 240
Business name: C I C. eI/ g j A �Afe • Willa heater , 16.60 Ap (,
f
Address: / (p Q 3 (A) Syr E R Other:
City /State/LIP: Subtotal &a ,cep
73 ♦ V� 9 1 Minimum permit fee: $72.50
Phone: ( ) (pre-( 2.- . 3-3 Z3 Far: ( ) 9-SS /residential back flow minimum permit fee: 536.25 '
CCB Lic.: 2 4 I 4 PlumbingL o.: z4 -/62 $ flan review (25% of permit fee) 0 •`i1
Authorized signature. ,...2_ State s urcharge (844 ofperrnit fee)
TOTAL PERMIT FEE 3 /y
Print name: .) .1.4 4 A c Date: , - 19 I Thus permit application expires Ira permit is sot obtained within
1R0 days after It has been accepted as complete.
. •Fee methodology set by Tri-County Building Industry Service Board.
I\ Wnlding\Pumro.'PLM.PermlApp 1V30'05 440.4616T(IWOzCOrVwEn► •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00374
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2007
Phone: (503) 639 -4171 A ti11410 Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7 :00AM PAGE: 72
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H -8,9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: RUEHL.
DESCRIPTION: Building fixtures: Other fixtures: (1) drinking fountains, (3) primers. •
OWNER: WASHINGTON SQUARE LLC, PHONE #: g
CONTRACTOR: ANCTIL PLUMBING INC PHONE #: 503 -642 -7323
Inspection Request Scheduled For: Date: 11/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 059934 -01 503-642-7323 N
Corrections /Comments/ Instructions:
C' re c J 9t,J
•
•
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • •
Inspector: (V Y►vl:J i �' ` �-�— Date: 1 I' j 2 Phone #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION • PERMIT #: PLIVI2007 -00374
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8!2212007
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 11/16/200 TIME: 7:01AM PAGE: 38
• SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD 1-1 -8,9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: RUEHL
DESCRIPTION: Building fixtures: Other fixtures: (1) drinking fountains, (3) primers.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANCTIL PLUMBING INC PHONE #: 503- 642 -7323
Inspection Request Scheduled For: Date: 11/16/2407 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 059816 -01 603 -642 -7323' N
. Corrections/Comments/Instructions:
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 1 r`^"z- Date: 7 1 1 1 ti 7 Phone #: (503) 718-
-
CITY OF TIGARD . '� ' r
BUILDING DIVISION PERMIT #: PLM2007 -00374
13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 8/22/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/21/2007 - TIME: 7:00AM PAGE: 23
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H - 8,9 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: RUEHL ,
DESCRIPTION: Building fixtures: Other fixtures: (1) drinking fountains, (3) primers.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANCTIL PLUMBING INC PHONE #: 503-642-7323
Inspection Request Scheduled For: Date: 9/21/2007 Pour Time:
- Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 056111 -01 503- 642 -7323 Y
Corrections /Comments /Instructions: ,
S cA
p 2. t r AA 2..14 L h_.W (J i /-bate, f ov.4 t fvL e S
•
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ' • 0 NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Jnspector:• 101�'`�'J ) lbws— Date: 121 t-b7 Phone #: (503) 718 -
CITY OF,TIGARD `. •
BUILDING DIVISION PERMIT #: PLM2007 -00374
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 8/22/2007
•
Phone: (503) 639 -4171 ' A:
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: - 917/2007 TIME: 7:00AM PAGE: 2
SITE ADDRESS: 09524 SW WASHINGTON SQUARE RD H -8,9 CLASS OF WORK:
•
SUBDIVISION: WASHINGTON SQUARE LOT #:• TYPE OF USE:
PROJECT NAME: RUEHL
DESCRIPTION: Building fixtures: Other fixtures: (1) drinldng fountains, (3) primers.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: ANCTIL "PLUMBING INC PHONE #: 503 -642 -7323
Inspection Request Scheduled For Date: 9/7/2007' Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing underslab 055347 -01 503-642-7323 Y
• Corrections /Comments /Instructions:
•
r
1 •
•
•
•
•
•
XPASS ❑_ PARTIAL APPROVAL . ❑' CANCEL • ❑ NO ACCESS
•
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` J I \ ` Date: °I ` 'l 107 Phone #: (503) 718-
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