Permit �.
74 - CITY OF TIGARD PLUMBING PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: PLM2007 -00531
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/6/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: FAST FIX JEWELRY
Project Description: (1) new sink.
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
. OCCUPANCY GRP: B 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 D
BY THE MACERICH COMPANY Description Date Amount
9585 SW WASHINGTON SQUARE RD [PLUMB] Permit Fee 12/5/2007 $72 50
TIGARD, OR 97223 [TAX] 8% State Surcha 12/5/2007 $5.80
Phone : Total $78.30
Contractor:
MODERN PLUMBING
11120 SW INDUSTRIAL WAY
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503 -691 -6166
FAX 503 -691 -6771
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: Permittee Signature: —).. • 1 ��
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.
Dec. 4. 2007 4:22PM Mode b' El 1� `� No. 5356 P. 2
- -L D S a coo - t0 30.
Plumbing Permit Application _ 04 I, !:oR tlr• r• is i.: l.sL o\ i.v
IN _ City of Tigard UtC 0 4 2007 ftec2i123 - D 61?› PvnutN.�
13125 SW Hall Blvd., Tigard, O 3 Date . L _ ��' d0
■ Phone 503.639,4171 Fax 51 { 9� Ur 11IJ17 � � „ _ - /
i>
Inspection Line: 503.639.4 M see Page 2 for
7
Internet: www.ti ar. �UI,DIN� DIVI i , .: a � !'
t;ard S . .
sepptemental IMOrmntion
TYPE ON VIDBK iii"' ` biC'1I?DULE
El New construction [] Demol For special Information use checkliss. r
iiir Iks.7i inin C1t; . J En. 1 Tntal
Addition /alteration/replacement ❑ Other.
New 1 - 2 - famiy dwellings (includes 100 R. for each utility connection)
° - ;, ' - - " . (LTFl1OR1 OF cbr - '
_ - SFR (1)bath 249.20
❑ 1- and 2-family dwelling ,N Cornmercialltndustrial SFR (2) bath 350.00
❑ Accessory building ID Multi-family SFR (3) bath 399.00
Master builder ❑Other `"�' Each additional bath/kitchen 45.00
Fire sprinkler C-sq. ft.) Page 2
,i; .; ,. • � .. , ,..OB'.itITE Iii oRmAriON' _ ,, .LOCATION., , • . - , . , , , Fate willies - - •
Job site address: C o A'7 l t.) i .-47 '5c , S(P R d Catch basin or area drain 16.60
City /State/ZIP: T( a ( - 0 1 / 042, 9 7 2-2.3 Drywell, leach line, or trench drain 16.60
not Project name: T . 1 - Footing drain (no. linear R: ) Page 2
Suite/bldg./apt no
Cross street/directions to job site: -
` Manufactured home utilities 110.00
Manhol 16.60
S f a c... 1 O 113 Rain drain connector
16.60
Sanitary sewer (no. linear R: _) Page 2
Storm sewer (no. ling R: ) Page 2
Subdivision' I of no.: Water service (no. linear R: - ) Page 2
Tax map /parcel no.:
Fixture or Hem
N absorption valve 16.60
'5 :; :- G.� ,'? ' fi r% ;,,,c,;,.;`;•,". '.■ ,f ,.,"' . 9,:; BackftOw reverter
P Page 2
► Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
?:;; `�i' ; aU. '�'R'�P$!fl Y sQ11 `' )'; <` + , , ", :.,, �. Drinking fountain J 16.60
;>' �;-' xi y' ' ' :. . Fjeetors/aump 16.60
Name:
Expansion tank 16.60
Address: _ Fixture/sewer cap' 16.60
City/Statc/ZIP: Floor drain/floor sink/lmb 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
;c,,;d,; �, Hose bib 16-60
Ice maker 16.60
Business name:
Interceptor/grease trap 16.60
Contact name: Medical gas (value: $ ) Page 2 t
Address: Primer 16.60
City /StatrJZIP: Roof drain (commercial) 16.60
Phone: ( ) F ( ) Sink/basin/lavatory 16.60 (di 4
- 7Ub/shower/shower pan 16.60
E -mail:
,��;,; : w • Urinal 16.60
v�• ' CONTR4CTOR . .
- '' water closet 16.60
Business name; MODERN PLUMBING CO. Water heater 1 16.60 ) (0. to D
Address: 11120 SW INDUSTRIAL WAY Offer.
City /Statc/ZIP: TUALATIN, OR 97062 V Subtotal
Minimum permit fee $72.50 7 �, 50
Phone: (503) 6914166 Pax: (503) 691 -6771 Residential baddlow minimum permit. fee: $36.25 _
y CCB Lie.: 87906 ' u i. I 'ng Lic no.: 34 -250PB Plan review (25go of permit fee)
Slate surcharge (8% of permit fee) „.5. D U
Authorized signature, / TOTAL PERMIT PEE
-7 g,3U
Print name: De, j v i kY C .e,_' / Q Date: '7, - Li ,. 07 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.
I\BnWing\PereguIPLM- PemiLApp 06/26/06 4404067pmn2JCOMnvs5)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2007- 00531
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/6/2007
Phone: (503) 639 -4171 4P ,i
Inspection Requests (24 Hrs.): (503) 639 -4175 �' °'I �..
INSPECTION WORKSHEET FOR DATE: 12/24/2007 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FAST FIX JEWELRY
DESCRIPTION: (1) new sink.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 603- 691 -6166
Inspection Request Scheduled For: Date: 12/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 062088 -01 503.691-6166 N
Corrections /Comments /Instructions:
GGt ✓{ �� v , tit.✓
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: d 1 "4t i L k) Date: I2-j2--f l'7)) Phone #: (503) 718-
r
CITY OF TIGARD ;r
BUILDING DIVISION P - MIT #: p .2007-00531 13125 SW Hall Blvd., Tigard, OR 97223 DA ' ISSUED: 121&12007
Phone: (503) 639 -4171 I �
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: ,1>fl� PAGE: 1
1�.�1si�ao7 7:00AM 18
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD La1 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FAST FIX JEWELRY
DESCRIPTION: (1) nevv sink.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503- 691 - 6166
Inspection Request Scheduled For: Date: 12119/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 061849.01 503-691-6166 N
Corrections/Comments/Instructions:
ij\f Z e i4(-
xj - r ie'rt ' t9A
r/ -.Ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
k/(AUe
Date '1( l a Phone #: (503) 718 2-1)m( I
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: Pl_M2007 0 3Jii
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/612007
Phone: (503) 639 -4171 i /* ANA �
Inspection Requests (24 Hrs.): (503) 639 - 4175'!+ i..
INSPECTION WORKSHEET FOR DATE: 12113/2007 TIME: 7 :00AM PAGE: 25
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FAST FIX JEWELRY
DESCRIPTION: (1) new sink.
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503.691 - 6166
Inspection Request Scheduled For: Date: 12713/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 061455.01 503- 691 -6166 N
Corrections /Comments/ Instructions:
po
K wess ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / j.i,J j 1 - Date: (ail Phone #: (503) 718-
r i • . 1
CITY OF TIGARD'
BUILDING DIVISION PERMIT #: PLM2007- 005"31
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/6/2007
Phone: (503) 639 -4171 14 %10,1 l
Inspection Requests (24 Hrs.): (503) 639 -4175 F 'I I..
INSPECTION WORKSHEET FOR DATE: 12112/2007 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 09607 SW WASHINGTON SQUARE RD L01 B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: FAST FIX JEWELRY
DESCRIPTION: (1) new sink
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503691 -6166
Inspection Request Scheduled For: Date: 12/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
305 Plumbing and €rslab 061381 -01 503.691 -G166 Y
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: "VN� t X l) 4--- Date: 12/12/ I/0 7 Phone #: (503) 718-