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Permit ` ?a C ITY OF TIGARD PLUMBING PERMIT � DEVELOPMENT SERVICES PERMIT #: PLM2002 -00370 F`�'` -1011 - 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/8/02 SITE ADDRESS: 10100 SW WASHINGTON SQUARE RD A -1 PARCEL: 1S135BA -00102 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 9 OCCUPANCY GRP: A3 FLOOR DRAINS: 31 TRAPS: STORIES: 1 WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 11 URINALS: 1 GREASE TRAPS: 1 LAVATORIES: 7 OTHER FIXTURES: TUB /SHOWERS: SEWER LINE: 300 ft WATER CLOSETS: 6 WATER LINE: 100 ft DISHWASHERS: 2 RAIN DRAIN: ft Remarks: Plumbing new kitchen and restrooms. FEES Owner: Description Date Amount PPR SQUARE TOO LLC BY MACERICH COMPANY [PLUMB] Permit Fee 11/8/02 $0.00 ATTN: JANET FISHER, ASSET MGMT [PLUMB] Permit Fee 11/8/02 $1,765.80 SANTA MONICA, CA 90407 [PLMPLN] Plan Review 11/8/02 $0.00 [PLMPLN] Plan Review 11/8/02 $441.27 Phone 1: [TAX] 8% State Tax 11/8/02 $0.00 Contractor: [TAX] 8% State Tax 11/8/02 $141.27 ROCK CONSTRUCTION + PLUMBING Total $2,348.34 P O BOX 8507 BEND, OR 97708 REQUIRED INSPECTIONS 1171 Sewer Inspection RP /Backflow Preventer Phone 1: 541 - 309 - 319 - 117 Sewer Inspection RP /Backflow Preventer Reg #: �� 0112770 Water Line Insp RP /Backflow Preventer PLM 9 - 184PB Rough -in Insp RP /Backflow Preventer Rough -in Insp Final Inspection Rough -in Insp Rain Drain Insp Rain Drain Insp Gas Line Gas Line Gas Line RP /Backflow Preventer • 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 00 / Permittee nature: Issued By. Perm ttee Mk Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day 09/12/2002 09:28 FAX 5035981960 CITY OF TIGARD I J 002 Building Fixtures _ , Bo a —r_s Plumbing Pe -.t ".. •_ '• •'0tion orFICI: USE ONLY Date received: 9 /7 O� Permit no.: e'i -O0�d " "'tit Itl1 City of Tigard 1 V7222/40 7 Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Ti OI G Cit of 7Ygard Phone: (503) 639-4171 ' Pro ca g y d p.G�f ecr/appl. no.: • e date: Fax: (503) 598 -1960 EU Y nG e rr L ON Date issued By Receipt no.: . - Land use approval: // (,1�1 Case file no.: Payment type: • TYPE OT PERMIT ❑ 1 & 2 family dwelling or accessory Commercial/industrial ❑ Multi family Tenant improvement ❑ New construction Additio t • alteratio. eplacenient 0 Food service Other: JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: (A)aShi Obn S0 �n� CQyt ) Q/OV Description Qty. Fee(ea.) Total 6' / ew 1 -and Z- family dwellings only: wASt►!ct+Ohuite no.: A - 1 (includes 100 ft. for each utility connection) Tax map /tax lot/account 3d.: SFR (1) bath Lot !Block: 1 Subdivision: SFR (2) bath Project name: , A SFR (3) bath ' City /county: 1 ar•' /(,ikalii :p •• , ZIP: 17 a Each additional bath/kitchen Description andlbcation of work . prep4ises: oF Site utilities: eXiMin• rPP1 IAt caJ*'S • , • t (&U-) R Catch basin/area drain Est. date of completionsp_ect p.�. a0 3 ^ '�' Drywells/leach line/trench drain Tin Footing drain (no. lin. ft.) TRACTOR Manufactured home utilities r ti, IIIIIMIM Business name: 7.„_ _'=' \ _ ?4� Manholes ----- J, . ss: • 0 , ' D $ S0 - • 1 Rain drain connector Z� ZIP: 0 '1 Q Sanitary sewer (no. lin. ft.) . c - - S'// -3/ 7 •�/ 4 — - Storm sewer (no. lin. ft.) Phone: Fax: _ — -E -mail: ( CAB no.: 1 / a- - z Q ' , I Plumb. bus. reg. no: ` 9 - 1 _q� Water service (no. lin. R.) • Ci /metro lic. no.: -r-ii '01 30 Fixture or item: Absorption valve Contractor's representative signat 7 ure: _ Back flow preventer Print name: Date: / Backwater valve 11,11.11 CONTACT PERSON Basins/lavatory ■ 111111.11.1111111 Name: Perri c.k : • - or ar L i� Clothes washer 7.1.01 Dishwasher WMIIM 1111 �. -. •- •:'- .. _ ' Drinking fountain(s) v_ll�t\ �., r. �7 Ejectors /sump �— Phone &,� y,_ • I • I' , p -mail ba en--1- e ! --1 i0j Ex.ansion tank AIIMPAIIIIIIIIM — OWNER • Name (print): o e ' , fed Floor drains/floor sinks/hub M_ - v u a 1 Garba:e dis.osal V Mailing address.' L I • ; i�►�o� j '� a l. . - � Hose bibb City: t • a AMINIMMIETEWO. ZIP: ' _ Ice maker Phone:4754Q7 • : • Fax: • E -mail: Interceptor /grease trap Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roof drain (commercial) employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owner's signature: Date: Sump . ENGINEER Tubs/shower /shower pan Name: Ja50►'1 S rn o1kr- - ', leScklr>cthe1 Co. Um. al � n Water closet Address: '' U35 5.70 ra_ S- Q A , S . 1t, 0 Water heater Basra " let. State: NIE ZIP:. ( :) _ Other: • ..._. Phone: 39 I - W o ; • - axr 40a- S91- 74$$ Total expires if a permit is not obtained fee $ � �� %" 'Not all Juriadiaions accept credit cords, please call jurisdiction for more Informwoo. Notice: This permit application o 0 visa a Masurd rc, PlMinimum an review (at _ /o) S LT u T Credit card number: _ / / State surcharge 03%) .... s Expires within 180 days after it has been TOTAL $ • =1� 7i Name of cardholder as shown on credit cam accepted as complete. 4) /D� S W.14/A/6" Cardholder signature Amount �� <<14) 1 /� �� D0A-/ // 616 (6/001COK L PL1JNIBING PERMIT FEES: • PRICE TOTAL New 1 and 2- family dwellings only: FIXTURES (individual) QTY (ea) AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink // 16.60 le04 the dwelling and the first100 ft. QTY (ea) AMOUNT for each utility connection) Lavato ry /7 16.60 //G ,26 One (1) bath $249.20 Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00 Shower Only 16,60 Three (3) bath $399.00 Water Closet b 16.60 90GD SUBTOTAL Urinal / 16.60 l4 8% STATE SURCHARGE Dishwasher 5 16.60 /44. PLAN REVIEW 25% OF SUBTOTAL Garbage Disposal 16.60 /4"46 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 9 16.60 /4/9 3" / 9 16.60 3fs yo PLEASE COMPLETE: 4" 3 16.60 4/9490 Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. / /4,606$ Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer -. 46.40 Lavatory Hose Tub or Tub /Shower ose Bibs - 16.60 Combination Roof Drains q 16.60 if�/ 3 !D Shower Only Drinking Fountain 16.60 7 Water Closet Other Fixtures (Specify) 16.60 Urinal Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Sewer - 1st 100' Floor Drain /Sink: 2" 55.00 SS, t�0 3" Sewer - each additional 100' 11. 46.40 97.96 4^ Water Service 1st 100' 74 55.00 6 - 6 7 e a Water Heater Water Service - each additional 200' ...... 46.40 Other Fixtures (Specify) Storm & Rain Drain - 1st 100' - 55.00 Storm & Rain Drain - each additional 100' _ 46.40 Commercial Back Flow Prevention Device 46.40 4/7 W - Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 • Inspection of Existing Plumbing or Specially 62.50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain, single family dwelling 65.25 Grease Traps if 16.60 /440 QUANTITY TOTAL Isometric or riser diagram Is required if Quantity Total is > 9 'SUBTOTAL ./ 1,r-C,:' I I 8% STATE SURCHARGE re 1/,1b �7 I "PLAN REVIEW 25% OF SUBTOTAL , • Required only If fixture qty. total Is > 9 - • ,. ' L.,r, r TOTAL I - , I , s. * Minimum permit fee is $72.50 • 8% state surcharge, except Residential Badcfl Prevention Device, which is $38.25.8% state surcharge. "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. iMsts\forms\plm- fees.doc 12/26/01 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / Z 6- 0' z AM PM BUP Location / 0/o O Su/ w4) <- s y ref Suite A - MEC Contact Person faci R,6 Ph ( ) r f Z /7 7 --) PLM o L. — o ) 3 70 Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm • R Ceiling Roof Other: Final P PART FAIL os Beam Under Slab p ater Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: e � ! S PART FAIL CHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST ita BUP Received Date Requested / I AM ✓ PM BUP Location / I 60 /OA' 30. R P Suite MEC Contact Person ( --t Ph ( ) 7,01 O — I1 c25' PLM 07 70 Contractor Ph ( SWR BUILDING Tenant/Owner �C�d ELC f?j2e Footing Foundation ELC Access: Ftg Drain • ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing :Ar Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING � Poostt , & Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Fi (KW? PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line / ADA Approach/Sidewalk Date ( /2/4 ` Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST I BUP Received Date Requested ` — / D AM BUP Location 1 U 100 U)Jf - SO— P Suite MEC Contact Person Ph ( ) d-c) - l 7c.13 PLM 3 70 Contractor Ph ( ) SWR BUILDING Tenant/Owner F(. 6'14r-6-Z/‘ ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Q ' . Slab Inspection Notes: I SIT Post & Beam Shear Anchors • M Ext Sheath/Shear / / / f Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab ; Rough -In Water Service ry ewer am Catch Basin / Manhole Storm Drain Shower Pan Other: S PART FAIL WE Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [] Please call for reinspection RE: [] Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date & 1 Inspector iv4 Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested — 1 1 1 AM PM BUP Location l � � 1./)/4" - D• Suite MEC Contact Person Ph ( ) 79- - / 72-5 PLM - X1`7) 3 70 Contractor Ph ( ,) SWR BUILDING Tenant/Owner �'— " '- ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: , Final �/� -�/� / 1J1� l '�l ALL PASS PART FAIL PLUMBING Post & Beam Under Slab / V �- A � , wU • -� A ; � Rough -In • e t ' - Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan �J l er: 4.:. - PASS PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 3 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL