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8256 SW MATTHEW PARK STREET-1 IS MVd M3HIIVIN MS 9SZS A E i i i H Q; 3 w H I� 3 DO a oc o-- _J L/J J 8256 SW MATTHEW PARK ST CITY OF TIOARD _ "LUMSING PERMITr_ DEVELOPMENT SERVICES PERMIT#: PLM2003-00568 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/30/03 SITE ADDRESS: 08256 SW MATTHEW PARK ST PARCEL: 2S1'12BC-10600 SUBDIVISION: MATTHEW PARK ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: It WATER C.OSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventer. Owner: - FEES - �- BENSON, BARBARA Description pate Amount — - 8256 SW MATTHEW PARK ST [PLUM131 Permit Fee 10/30/03 $36.25 TIGARD, OR 97224 I AX] R"%State 10/30/03 $2.90 Total $39.15 Phone : 503-670-9794 Contractor: DENNIS' 7 DEES LANDSCAPING 7355 SW JOHNSON CREEK BLVD PORTLAND, OR 97208-9328 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : I-.�X-777-2399 Final Inspection Reg #: � 3.j777-777�1t)t)o1478 LIC 5009 PLM 00011094 IL o'c N U) m This permit is issued subject to the regulations contained in the Tigard Municipal Cc. 1e, State of OR. W 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 .:alling (503) 246-6699. Issued By: L-f— /'/c c Permittee Signature: G�_ i Call (503) 639-4175 by 7:00 P.M.for an inspection needed the next business day Now Building FixturesG Plumbin Permit ADDlicatinn - Received Plumbing s-00 y6v �]�vv(1 DateB : ! , Permit No.: t/�) O � C Cinty of Tigard Planning Approval Sewer 13125 SW Hall Blvd. , DateBy: PetmitNo.: _ t 1 Plan Review Other Tigard,Oregon 97223 f C DateB : Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post Review Lind Use Internet: www.ci.tigard.or.us t, DateB : Cue No.: I Contact Ams.: 24-hour Inspection Request: St13-64 4'l�'� Name/Method: _ �,,:.�.,� Su See Page 2 foName/Method: elemental Informatbu. Y.. New construction Demolition Descrl tion Qty. Fee(ea.) Total Addition/alteration/rc lacement Other: 1 &2-Famil dwellin Commercial/Industrial SFR J 12 bath 249.20 SFR 2 bath 350.00 Accesso Buildinizr Multi-Family SFR 3 bath 349 110 Master Builder t?ther: Each additional badAitchen 45 ►0 0Fir&erinkJeffr-sq.ft.: Pav 2 Job site address: rPY(e /tw/w"4141/of ffo Suitt # —� Bldg./Apt.#: Catch basin/area drain 16.60 Pro eet Name: /,P>ErjSoli eiUlcach line/trench drain 16.6f Footing drain no.linear ft.) pale l Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connecto, 16.60 _ Sanitarysewer no.linear ft. Page 2 Subdivision: Lot#: Storm sewer(no linear ft.) Pae 2 Tax ma / arcel #: ---_ ---- Water service no.linear ft. Pa e 2 -- Absorption valve 16.60 _ /1'lTi4CL- Ll,Ar GUS /ll�/C Backflow preventer _ Pa e 2 Backwater valveMAO Clothes washer 16.60 —" Dishwasher 16.60 -Drinking fountain 16.60 �� Ejectors/sumppassion16_60 Name: _/�Fy—.� _ Expansion tank 16.60 Address: far( 1t'w�i�yli✓�egar,•r fptrf ey Fixture/sewer cam^ 16.50 City/State/Zip: T/G,gxfj de 5;771PV/ Floor drain floor sink/hub _ 16.60 Garbage disposal 16.60 Phone: G70-9 9 Fax: — Hose bib 16.60 Icc maker 16.60 Name: Interceptor/grease trap 16.60 Address: Medical gas-value: S Pa e 2 City/State/Zip: Primer _16.60 Roof drain(commercial) _ 16.60 Phone: Fax: Sink/basin/lavatory 16.60 E-mail: Tub/shower,shower pan 16.60 Urinal 16.60 Business Name: Dennis' Seven Dees Landsca i g Water closet 16.60 Water heater 16.60 Address: 7355 SE Johnson Creek Bouleva. j Other: u City/State/Zip: Portland, OR 97206 �i Other: Phone: 777-7777 Fax: 777-2399 CCB Lic. #:_5009 Plumb. Lic.#: 05LIBDI _ Subtotal S 5&6 Authorized Minimum Permit Fee$72.50 S Signature: h�� Date: D/l7 01 Residential Backflow Minimum Fee 536.25 — c �7 y-, Plan Review 25%of Permit Fee S , 'l rJ//UV > >� State Stuchara8%of Permit Fee S 0 Please print game) TOTAL PERMIT FEE S Notice This permit application expires it a permit is not obtained within -_All new commercial buildings require 2 sets of plana with Isometric or 190 days after it has been accepted as complete, riser diagram for plan review. *Fee methodology set by Tri-County Building Industry Service Board. i lDstsTerTnit Forms\PimPerrrtitApp.doc 01/03 Plumbing Permit AipplicatIon -City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression S stems: Footing drain-1"100' 55.00 0 to 2,000 S l 1500 _ Footing drain-each additional 100' 46.40 2,001 to 3,600 S 160.00 3 601 to 7 00 $220.00 _ Sewer-1st 100' — 5500 7,201 and -eater $309.00 Sewer-each additional 100' 46.40 Water Service-lst 100' 55.00 Medical Gas S stems: Water Service-each additional 100' 46.40 Storm&.Rain Drain-Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee 572.50 _ — Storm&Rain Dein-each additional 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000 00 and$1.52 for each additional 5100.00 or Nctiov thereof,to and includinjLS(01000.00. Commercial Back clow Prevention Device 46.40 SIQ001.00 to$25,000.00 $148 50 for the:first$10,000.00 and 51.54 for Residential Backflow Prevention Device �/ �� each additional$100.00 or fraction thereof,to minimum .nnit fee S36.25 — t/ 27.55 Yf- _ and includin 525,000.00. _ Rain Drain,single family dwelling 6525 525 001.00 to$50,000 00 $379-$0 for the first$25,000.00 and S1.45 for each additional 5100.00 or fraction thereof,to Inspection of existing plumbing or and including550 000.00. r!!�77 ted inspections-per hour _ 72.50 550,001 00 and up 5742.00 for the first$50,000.00 and$l 20 for Subtotal: _ each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurate)Y re ort fixtures could result in increased sewer fees*. Comments regarding fixture work: Baptistry/Font Bath -Tub/Shower --- -Jacuzzi/Whirl I Car Wish -Each Stall _ -Drive Thnr -- Cus idor/Water Aspirator_ Dishwasher -Commercial -Domestic _ ainking Fountain _ Eye Wash Floor Drain/sink 2" J" — 4" Car Wash Drain *Note: If the 011ture work under this permit results in an Garbage -Domestic _ IL Disposal -Commercial increase of sewer IDUs,a sewe-permit will be issued and -Industrial fees assesied for the sewer increase must be paid before the N Ice Mach./Rem .Drains plumbing permit can be Issued. Oil Separator Gas Station Rec.Vehi le Dump Station .J Shower -Gang CO -Stall C, Sink -Bar/l.avatory _— LU -Bradley J -Commercial _ -Service _ Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-Toilet Urinal _ Other Fixtures. i:\Dsts\PerrnitForms\PlmPerTnitAppPg2.doc 01/03 CI 1 Y OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4176 ® MST INSPECTION DIVISION Business Linc (503)639-4171 SUP - -- Received .__ --_Date Requested )J-'J — q �L_ _ AM—�--- PM BUP Location � Mg _Suite_ - MEC _ Contact Person -- SCo -"- Ph(_ ) - X735- � 3 " O O Contractor _ Ph( ) SWR BUILDING _ Tenant/Owner _ _ r--._- — ELC _- Footing Foundation ELC —_ Ftg Drain AccesB: ELR Crawl Drain _ Slab Inspection Notes: SIT — -- Post&Beam ✓ a-„�- Shear Anchors l _�� Ext Sheath/Shear ./'� J Int Sheath/Shear Framing -- Insulation Drywall Nailing — -- --- - - Firewall Fire Sprinkler ---- ---- -- - Fire Alarm Susp'd Ceiling --- -- — - Roof Other: - Final PART FAIL r� LUMBI Under Slab - - Rough-In Water Service -- Sanitary Sewer- Rain ewerRain Drains - Catch Basin/Manhole Storm Drain -- wer an Z PART FAIL HANICAL Post&Beam — - Rough-In IL Gas Line Smoke Dampers --- - - -- Final U) PASS PARTFAIL - -�- -- ��— -- ELECTRICAL_ J Service Rough-In C7 UG/Slab J Low Voltage Fire Alarm Final [� Reinspection fee of$ -_required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE C] Please call for reinspection RE:__. u Unable to inspect-no access Fire Supply Line r ! � �� Approach/Sidewalk Data __ Inspaator_ _ Ext PP �� Other: - Final NOT YtElOVE this Inspection record from the job site. PASS PART FAIL