Permit C ITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT PERMIT #: PLM2007 - 00092
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/6/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: BARE ESCENTUALS
Project Description: (1) new hand sink w /instant hot, (1) water heater.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 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
BY THE MACERICH COMPANY Description Date Amount
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 3/6/2007 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 3/6/2007 $5.80
Phone : Total $78.30
Contractor:
D & F PLUMBING
4636 N ALBINA AVE
PORTLAND, OR 97217 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 282 -0993
FAX 503- 288 -0604
Reg #: LIC 465
PLM 26 -23PB
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: Q"-P Qj
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.
Mar -05 -07 04 : 31P l .5 ■, n4 r'C g.) P _ 01
Plumbing Permit Application Received Plumbing � �n '7 /�
® Date/By: Permit NoT' 1 d / aid 92.
City of Tigard RECD Planning Approval Sewer
Permit Nn S /
Datc/By: c.,0) 9 (�Q0,5
13125 SW Hall Blvd, Plan Review Other
Tigard, Oregon 97223 MAR ® 5 2007 Date/By Permit No.:
Phone. 503- 639 -4171 Fax: 503 % Post - Review Land Use
yr A 13A). PONi 1 = + Dateft : Case No.- fig,
Internet www.ci.tigard.or.us BUILDING Dill tv,. r�� I I Contact funs,: .M See Page 2 for
24 -hour inspection Request: 503 -639 -4175 , Name/Method. _ - Supplemental Information.
. • ' TYP OF•WORK. 'cj? • FEE":SCHEDULE (for speclaCldrormi checklist)
71 New construction Demolition Descrjption f Qty. I Fee(ea.) l Total
ddition/alteratlon/replacement Other: - .. ;:'New 1= & Zja> ig;,.
CATEGORY OFCONSTRUCTION jlucludead00 ft.Iur:escih utility t unitectloh)
SFR (1) bath 249.20
1 & 2- Family dwelling lei Commercial/Industrial SFR (2) bath 350.00
E Accessory 13uildin • ultt- !'ampl SFR (3) bath 399.00
Master Builder ~ • Other: Each additional bath /kitchen 45 00
•• JOB SIT.E • T 0 and LOCIATION ' Fire sprinkler - sq. ft.. Pagc 2 _ •
Job site address: 31 - , �I .,,,,- /�! - I. ;= ' • 1 .... Site Utilities ' • '.`r' ' • -, •
Suite #: /`/ - /d Bld . /Apt. #: Catch basin area drain 1 16.60
Drywcll/leach line/rrcnch drain 16 60
1'ro)ccl Name: !C TGar.i Footing dram (no linear ft) Pas 2
Cross street/Directions to job site: t5 Tor Gtr. Manufactured home utilities 110.00
rtall 6,0 14 Ur c !` al E � Tv' I � �/ Manholes 16.60
�ST r3 L4'r�tT - pvt'ir/..t ctrl Tr/ ..., 0 !+
Rain drain connector 16.60
)1{c -cT 4 -v , C,Vil./ Sanitary sewer (no. linear ft) Pagc 2 _
Subdivision: I Lot #: Storm sewer (no. linear ft.) Pagc 2
Water service (no. linear 11 } Page 2
'Tax map/parcel Ii: - ', r ,a 2 ;
�,' ; ° r ": "a : •' "r•'' , i•'.E'iYtuYA;dr�ti°'m;:; '.. ••�
pn !! °'. DESC•RIPdTION OF WORK Absorption valve 16.60
fVXl n / Fe"
O( 011 C A W/' N •S/ . Backflow preventer Page 2
i-h i 'SP' iT 1191- Backwater valve , 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
' : d :PROP ttr • 1 •• 0 WNER'• ..,,r: ,ip .. B 1111 TEN'Sf NTs- .. °:. .`eiS •I i S • Ejectors/sump 16.60
t
ante: siccric. Cart Expansion tank 16.60
Address: `J( 5 5,1 tA.% iit/km Je Fixture/sewer cap 16.60
Floor drain /flour sink /hub 16.60
City/State/Zip: /1 g7 Garbage disposal 16.60
Phone 5 3 ISc3. • S07 Fax: _ ao - Hose bib 16.60 -
12'A'FII:ICADIT ; .r . ' , 'C
i® r' • ON r I Ice maker 16.60
Name: _ Interceptor /grease trap 16.60
- - Medical gas - value S Page 2
Address: Pruner 16 60
City/State/Zip: Roof drain (commercial) 16.60
Phone: _ I Fax: _ sink/basin/lavatory J 16.60 /6 , 6
E-mail: Tub /shower /shower pan 16.60
:. CANT • • :' roR • • . Urinal 16.60
Water closet 16.00
Business Name: ,tjtj - r �� �p/' t Water heater J 16.60 /4
14C
Address: � � z ' ''� - Other: -
('ity /State /Zip: p a r r . - ,' . _ 7 / 7 Other:
Phone:Jr0�1'. 19Rv D? l'axSD t;8 G1�
. ;r.. rPluittbingtPermlt Fees *. ' ' .''.
Subtotal ` $
CCB Lic. #: plumb. •. #: a6 aP Minimum Permit Fcc $72.50 $ r 1/45Z, nttthonzcci Residential Backflow Minimum Fee 536.25
Signature. �/' / ••
_- Uatc: � � " S 07 Plan Review (25 Fcc) •
1 ` J, G _ mil/ / State Surcharge (8% of Permit Fee) $ 'g
V ` -. .
( leasc pruu name TOTAL PERMIT FEE S 7R i
Nottcc: '1 his perutit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or
180 days after it has been accepted as complete. riser diagram for plan review.
"Fee methodology set by Tri -County Building Industry Service Board.
t U)ats\Peruut Fonns\PiroPerrrtitApp doe 01/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007 -00092
13125 SW Hall Blvd., Tigard, OR 97223 y _ DATE ISSUED: 316/2007
Phone: (503) 639 -4171 - �
Inspection Requests (24 Hrs.): (503) 639- 4175 ..
INSPECTION WORKSHEET FOR DATE: 3/26/2007 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCENTUALS
DESCRIPTION: (1) new hand sink w /instant hot, (1) water heater.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: D & F PLUMBING PHONE #: 5032R2 - 0993
Inspection Request Scheduled For: Date: 3/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 045378 -01 503- 282 -0993 N
Corrections /Comments /Instructions:
/ 2"...
PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 �-'l/ ill Date: 0 2 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 70tt02
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/5/2007
Phone: (503) 639 -4171 'I I
Inspection Requests (24 Hrs.): (503) 639 -4175 s_5 " :..
INSPECTION WORKSHEET FOR DATE: 3/7fl007 TIME: 7:00AM PAGE: 2/
SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BARE ESCEN rUALS
DESCRIPTION: (1) new hand sink au /instant hot, (1) water heater.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: D & F PLUMBING PHONE #: 503 282_p003
Inspection Request Scheduled For: Date: 3/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 044857 -01 503.282.0993 N
Corrections /Comments/ Instructions:
\A.6 (1\'
r )\ \
oa
IPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( Date: 3/7/6? Phone #: (503) 718 - 9---171-