Permit CITY OF TIGARD
PLUMBING PERMIT
: COMMUNITY DEVELOPMENT PERMIT #: PLM2006 - 00513
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/5/2007
PARCEL: 1S12600-00300
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F -8 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: M FLOOR DRAINS; 1 TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: 4 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 101251200E $116.20
TIGARD, OR 97223 [TAX] 8% State Surchari 101251200E $9.30
Phone : Total $125.50
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 b . • ! .246.6699 or 1.800.332.2344.
Iss d By: , I � /` / r Permittee Sig 1 4
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.
Oct 25 06 11:33a MODERN PLUMBING 503 691 6771 p.2
..-,
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Plumbing Permit AnDlicatiOn' - ' • .-- FOR OFFICE USE ONLY
City of Tigard 5 Re...v....a
Date By Penult t 1■10 a _09g/ 5
1 1.3125 SW Hall Blvd., Tigard, OR 972233C1
25 20 Pl an Rcnen
M Phone: 503.639.4171 Fax: 503.598.1960
. t. ‘ Da e By 1_415er Penall No Gli i0ONV
TLCARD
Inspection Line: 503.639.4175
v o " ik-i r 'Ll
, . 1_ ,.. -Date Ready/By: Attie I El see Page 2 for
:Not/Method I supplement:at Information
-- -- - - TYPE ...
1:1 New construction 0 Demoiition For special information use checklist.
Desaiption 01-1
XAdd ili on/aIterah on/replace ment 0 Other
New 1- 2-family dwellings (includes 100 It for each utility connection)
CATEGORY OF CONSTRICTION SFR (1) bath 249.20!
0 I- and 2-family dwelling ' RCommercialtindustrial SFR (2) bath 350.00
0 Accessory building . 0 Muhi-family SFR (3) bath 399.00
Each additiomi bath/kitchen 45.00
0 Master builder 0 Other
Fire sprinlder ( aq. IL) Page 2
JOB STYE INFORMATION AND LOCATION
Site otatles :
Job site address: 9 0 5 is .) 0 a_ 61-, . 3 Q 2. - Catch basin or area drain I 16.60 1
CityiState/ZTP: --- cf / CSV__ W e DrywelL leach line, or trench drain 16.60
no.: i--
ri_i_ c< . Footing drain (no. linear IL: ) Page 2
Snite/bklgJapt. eg Project name: / 2 , r , 5 r r ,f-,
Manufactured home utilities 110.00 I
Cross street/directions to job site:
Mantle/es 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ) Page 2
Stoma sewer (no. linear ft.: ) Page 2
Water service (no. linear R.: ) Page 2
Subdivision: I Lot no.:
Fiatme or item
Tax map/parr-el no.: /3 / ,aket-cO000
Absorption valve 16.60
DESCRIPTION OF WORK
Backfiow preventer Page 2
1 if el Ce. rt. 1,„_. ..._.1e-r-‘63 (IA Backwater calve 16.60
Clothes washer 16.60
Dishwasher 16.60
PROPERTY OWNER 1 0 TENANT Drinking fountain
16.60
Ejectors/sump
16.60 . 1
Namc t01 - c_ k_L_C. -
Expansion tank 16.60
Address:
FixtureJsewer cap 16.60
City/State/ZIP: Floor drain' /floor sink/hub ,i " _ / 16.60 no, ( 0
Phone: ( ) I Faac ( ) Garbage disposal 16.60
0 APPLICANT 0 corrrAcr PERSON Hose bib 16.60
Ice maker 16.60
Business name:
Interceptor/grease trap 16.60
Contact name:
Medical gas (value: S ) . Page 2
Address:
Primes 16.60
City/State/ZIP: Roof drain (commercial) 16.60
Phone Fax : ( ) Sink/basinflavatory if_ 1.Pril 1, 5, dii-- 5 16.60 . 3....0( - )
: ( ) I
Tub/shower/shower pan 16.60
E-mail:
Urinal 16.60
CONTRACTOR
Water closet 16.60
Business name: MODERN PLUMBING CO. Water heater / 16.60 ,C,. 6,0
Address: 11120 SW INDUSTRIAL WAY Other:
k.
City/State/ZIP: TU A LAT IN, OR 97062 Subtotal I Lo
Minimum permit fee: 572.50 ..
Phone: (503) 691-6166 Fax: (503) 691-6771 Residential back minimum permit fee: $36.25
Plan review (25% of permit fee)
CCB Lie.: 87906 Plumbing Lie. no.: 34-250PB
State surcharge (8% of permit fee) 93 6
Authorized signature:(01 .
....---- TOTAL PERMIT FEE /2 ,50
Print name : 0 f-10‘._ I a h 6 C c.- 1 Date: "1 te I 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.
u.nanamewermitsu:cm -PennilApp.doc 06126106 440-461 6T(10/112/COMAVEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM2006 -00513
13125 SW Hall Blvd., Tigard, OR 97223 A\ DATE ISSUED: 1/5/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/1212007 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F - 8 CLASS OF WORK: -
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LENS CRAFTERS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 3/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 044649-01 503-691 -6166 Y
Corrections /Comments /Instructions:
3
tl aw r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � Date: ') Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLMOtf6 0051
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 115/2007
' Phone: (503) 639 -4171 , � 1 g�Py +�
Inspection Requests (24 Hrs.): (503) 639 1 I
INSPECTION WORKSHEET FOR DATE: 3/007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 03730 SW WASHINGTON SQUARE RD F -B CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LENS CRAFTERS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503- 691 -6166
Inspection Request Scheduled For: Date: 3!2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 044249 -01 503 -691 -6166 N
Corrections/Comments/Instructions:
❑ PASS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL P CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ') Ins ector: Q) D ate Phone #: 503 718 2 '-9
CITY OF TIGARD
BUILDING DIVISION PERMIT #: PLM7006 -00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -417 .. eV .
INSPECTION WORKSHEET FOR DAT 7/1/2007 TIME: 7 :01AM PAGE:' CC
SITE ADDRESS: 08730 SW WASHINGTON SQUARE RD F - CLASS OF WORK: .
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LENS CRAFTERS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503-591-6165
Inspection Request Scheduled For: Date: Y1/2007 Pour Time:
Code # inspection Description Confirm # Contact # Me age
395 a3 Misc.
• I _ _ inspection X 042810 01 503 691 -6166 Y
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Inspector: Date: �� /U / Phone #: (503) 718- 2�2
CITY OF TIGARD -"
BUILDING DIVISION PERMIT #: PLM2006 -00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2007
Phone: (503) 639 -4171 Obi" �
Inspection Requests (24 Hrs.): (503) 639 -4175 - �Fi. 1 1 1
INSPECTION WORKSHEET FOR DATE: 1/31/2007 TIME: 7:02AM PAGE: 33
SITE ADDRESS: 09730 SW WASHINGTON SQUARE RD F - CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: LENS CRAFTERS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503
Inspection Request Scheduled For: Date: 1/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 042743 -01 503-681 -6166 N
Corrections /Comments /Instructions:
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❑ PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION `! •' • EES ASSESSED
Inspector: Date: ti Phone #: (503) 718-
CITY OF TIGARD -, r'
BUILDING DIVISION '. ' PERMIT #: PLM2006.00513
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/512007
Phone: (503) 639 -4171 A.a1 1 A
Inspection Requests (24 Hrs.): (503) 639 -4175 ehl
INSPECTION WORKSHEET FOR DATE: 1/11/2007 TIME: 7:03AM PAGE: 16
SITE ADDRESS: 09730 SW WASHINGTON SQUARE F -8 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE T #: TYPE OF USE:
PROJECT NAME: LENS CRAFTERS
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: MODERN PLUMBING PHONE #: 503 -691 -6166
Inspection Request Scheduled For: Date: 1/11/2007 Pour Tim -•
Code # Inspection Description Confirm # Contact # • ssage
3 �0 Plumbing rough -in 042023 -01 503 -691 -6166 Y
Corrections /Comments /Instr ctions: � `,
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n PASS k PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
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Inspector:
/() Date: V l fri Phone #: (503) 718 - ZLi