Permit C ITY OF TIGARD PLUMBING PERMIT
PERMIT #: PLM2006 -00216
. 1111 DEVELOPMENT SERVICES DATE ISSUED: PLM2 006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300
SITE ADDRESS: 09633 SW WASHINGTON SQUARE RD FC - 4 ZONING: C - G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: others one icemaker
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; 3 TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
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 5/16/2006 $83.00
TIGARD, OR 97223
[PLMPLN] Plan Review 5/16/2006 $20.75
Phone : 503- 639 -8865
[TAX] 8% State Surcha 5/16/2006 $6.64
Total $110.39
Contractor:
PLUMBING CONCEPTS INC
PO BOX 1068
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact # : PRI 658 -5232
FAX 503- 658 -5232
Reg #: LIC 97587
PLM 3 -293PB
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 • follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 -000 0 00. You may obtain copies of
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1 -800- 332 -2344. s
.�7fb
Issued By: 44Z Permittee Signature: 4
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that b mess 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.
-2006 12:59 AM P. 01
.suilc�ing Fixtures 5/ Od t 7 5
Plumbing Permit Application �� i t i l t 1 I l l it I I ..I 1 1\ 1 1
City of Tigard � -'` �� �� Received i /5 J � , Permit No„ k r _t�Q�,
� pale/13 apale/13 J
a 13125 SW Hall Blvd., Tigard, t 2 G 23 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 1 10 Date/B , // ether permit
inspection Lino: 503.639.4175 y �� ). , j 6 Due R eed y /9 y ®gee Page 2 for Opp
I I ` , I ' Internet• www herd -or gov Notitled/tvtethod'� - / / 8u , temente lnformadoo
• ". - . 11 3! •1 �i h iwoV, Fdi h ` h� 'T .. ;�. `,, h
i ,a+:: ex 1 : 4.,a11�0 . ..i all tit i t ..: '
,•:7' ,,r�(:_ia. ' .::..,14 2 -&' 7 * V. ', ' . - a Fo►rpeclAllq/ora�adon checklist.
❑ eW construction � �� Description I Qty. I Ea- 1 Total
1A A ddition /alteration/roplacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
,1 ,�t, 4 z(t ^^�"�,"yy ' ` '4 .', e air i '!a; : mo r � - SFR (I) bath 24920
.� _ i ',l ; `i. t�l �IY^�a'S[�.h.SF��%rJ< �k1EU�1F.rF 4 .� . � . �=i� � , ' , . ,
[{'Commercial /Industrial SFR (2) bath 350.00
❑ I- and 2-family dwelling
[] Multi - family SFR (3) bath 399 00 ,
El Accessory building Each additional bath/kitchen 45,00
❑ Master builder 0 Other: Fire sprinkler ( sq. ft.) Page 2 T
'j'. c; {p10:07Y .: .T , ,y ; ;777 a T: '; ,,. ov I . . Site utilities
Job Site address: q(�' sit/ uiresho s. ,.. a A..* • Catch basin or area drain 16.60
r
�- / Drywall, leach line, or trench drain 16.60
City/State/ZIP' / % /Pi 6 •
Footing drain (no, linear ft,: ) Page 2
Suite/bldg./apt. no.: I Project name UC 2 � c 7 ei a, _
i M anufactured home utilities 1 10,00
Cross street /directions to Job site' , . ,,, , - 4,+.i . 1 Manholes 16.60
- _
Rain drain connector 16.60
Sanitary sewer (no, linear ft.: ___.J Page 2
Storm sewer (no. linear ft.: ) Page 2
Lot no, ,
• Water service (no. linear ft.: ) Page 2
Subdivision: Fixture or Item
Tax map/parcel no.: Absorption valve 16.60
---�" g Page 2
.S' ;•: ' ; .r' �� ,: :. •,: ...1 : - 1 ` • 1 - 1, ;,1V { r'' /p� i tibt)i �,,tt 2 Backwater valve 16.60
BackQOw preventcr g
�'•' - - r `,'•,..,..�,.,. :; 7D iiJ�n A. 1 & 1 JQ1411�`j k 06
r`a �O`p `t L,Z ^ � ' 16.60
2 � i r.) Hot�`c- I C _ M I/,EL `G> 1J .,rf L-L -
Clothes washer
Dishwasher 16.60
„ }T ‘&1131`, L0.41172- tit rt L 3 I 1 at cT `og -4,1 , Drinking tbu main 16.60
:;,? !„'f'1::"': tit g
'• 1;. 1 , "' d ° 't Zecaz:W f . '�„° t"i ,`� ,11 1T Ejectors/sump 16.60
Name: i ioA , - Q. k.LC Expansion tank 16,60
Address: C s t it Pixture/sewer cap t ( 16.60 16.60 City /State/ZIP:.-1 q 7 9-9-3 _ Floor drain /floor sink/hu . # FT 16.60 , S�
/ Garbage disposal
Phone. ( /f) 7i �' g Fax:( ) Hose bib 16.60 /� �J`
_e -C41 ` :: !! ;: 7; :ruzS " ,. ,, ;CoNrACT t Eltti N Ise maker 16.60 �-,t� e.i
Business name: Interceptor/grease trap 16,60
Contact name; _ Medical gas (value: $ _,_) Page 2
Address: Primer 16.60
Roof drain (commercial) 16.60
City/State/ZIP: _ 16.60 /C
Sink/basin/lavatory /
Phone: ( ) Fax: ( )
- - Tub /shower /shower pan 16.60
E -mail: Urinal 16.60
Tiq''es ?;",t M 9'1fr i O li" - ' ' Water closet 16,60
,....•,�,,��.:.,. �.. 1 . .. 16.60
Business name: Iu/�rlii`r'•• nCe 7C . Water heater
Address: , p. 130 it /0 • _ 3 &,.
City/State/ZIP: C epc eArrr a 9 7015 Minimum permit the: $72.50
Phone; ( 503 58 -51;),3,;i Fax: (5D3 ) (05.8.5, ,. ; _ Residential backflow minimum permit fee: $36,25 -
.• Plan review (25% of permit foe) -2 'Z S
C CB Lie.: 7 ak7 : ic 1( 0 __` Plumb Lie, no.: .5.,19..,-.. &
, I perm fee) y
Authorised signature: • � . G -e TOTAL PERMIT FEE 1LO 6 ._`?4
Date: , j - 10 - b(-a This permit application expires If a permit is not obtained svithIn
M 180 days after It has been accepted as complete.
"Fee methodology set by Tri- County Building Industry Service Board.
I \BuildIn $\PamluaLMF•PUmftAPP.doe 0006106 440.4616T(10/02ICOM/WEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006- 00216
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2006
Phone: (503) 639 -4171 •
Inspection Requests (24 Hrs.): (503) 639 -4175 �' °:_..
INSPECTION WORKSHEET FOR DATE: 6/13/2006 TIME: 7:22AM PAGE: 79
•
SITE ADDRESS: 09633 SW WASHINGTON SQUARE RD FC-4 CLASS OF WORK:
• SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: GOOD DOG BAD DOG
DESCRIPTION: others one icemaker
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8065
CONTRACTOR: PLUMBING CONCEPTS INC PHONE #: 658 -5232
Inspection Request Scheduled For: Date: 6/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 031611.01 503- 317 -0864 N
Corrections/Comments/Instructions:
PAW Zr AVAW".- .1111MINS-wr
•
it
[ASS rlfj =ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 1 \1 \ f Date: ) c5 Phone #: (503) 718-
\
CITY OF TIGARD /°L i
BUILDING DIVISION PERMIT #:, !�o°Z / (D
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 Atsr
Inspection Requests (24 Hrs.): (503) 639-4175 AL
INSPECTION WORKSHEET FOR DATE: TIME PAGE:
SITE ADDRESS: � 3 3 t. S6 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: J z
OWNER: D & � PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: S/ 1 / Pour Time:
Code # Inspection Description Confirm # Contact # Message p /
3 5�3 =3/� O(o
0.?,9 9 gD- o/
Corrections /Comments / Instructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /VW `' Date: 4 a Phone #: (503) 718 -