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9732 SW LONDON COURT 9732 SW London Court �\ CITY OF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00124 DATE ISSUED: 4/3/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S 135CD-08000 SITE ADDRESS: 09732 SW LONDON CT SUBDIVISION: LONDON SQUARE NO.2 ZONING: R-25 BLOCK: LOT: 032 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: 5( WASHING MACH: BACKFLOW PF,-VNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWEr<S: SEWER LINE: ft WATER CLOSET S: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install water heater. _ __ ---I F:t-- --- --- FEES Owner: --- Description Date Amount MARCIE BROWNI I'I \lltl Permit FCC 4/3103 ` :,72 50 9732 SW LONDON CT TIGARD, OR 97223ti�,itr"lax 4/3/03 $5.80 Total $78.30 Phone : 503-267-9,199 Contractor: r>U,INER REQUIRED INSPECTIONS Final Inspection Phone Reg 't: This permit is issued subject tc 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 160 days. ATTrNTION; Oregon law requires you to follow rules adopted by the Oregon Is'ue.i By: �f �f,1' Malt C� Permittee Signature: ,- Call (.503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Fiixtt'"s I , , l�lu�lj�? 7_L (')I-)(���t A���)fli�'illll�)�ll Received Plumbing Date/D !�3 �+B Permit No?_#1-Z&-) -'d01-Z Planning Appruval Sewer City Of Tigard Date/B : PermitNo•: _ 13125 SW Hall Blvd. Plan Review Other Datc/D : Permit No.: _ Tigard,Oregon 97223 Post-Review land Use Phone: 503-639-4171 Fax: 503-598-1960 DatciD : Case No.: Internet: www.ci.tigard.or.us Contact Juris.' See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _ Supplemental Information. �,E OF WORK— FEE*SCHEDULE(for special Information use checklist ENew construction Demolition Desert tLn v Qty. Fce(es.) Total New I-&2-f:untly dwellings Additio //alteratign/replacement Other: Includes 100 ft.fol each utilit connection CATEGORY or CUINs I'RUCTION SFR(I bath 249.20 &2-Family dwellings Comtnercial/Industrial SFR 2 bath 350.00 p Multi-Fatnil 5FR 3 bath 399.00 pAcccsso wilding as.0u Master f3uildt'r Other: Each additional bath/kItchen Fir,s 'inkier Pae 2 JOEL SITE INFORMATION and LOCATION Site Utilities Job site address: Catch basin/area drain 16.6(1 Suite#: Bld ./A t.#: — pr ell/leach lin,/trench drain 16.60 Pro'ect Name: !� — Footing drain no.linear ft. Pae 2 Cross street/Directions to job site: Manufactured home utilities i IO.Oo Manholes 1 G.GO Rain drain connector I G.GO Sanitar sewer n,. linear ft. Pae 2 -- —T� Storm sewer no.linear fly_ Pa e 2 Subdivision: _ ____�.—L_ot # — Pae 2 Water service no.linear ft. Tax map/parcel 4 Fixture or Item nESCRIPTION OF WORK Abso tion valve _ 16.60 Backflow reventer Pae 2 A1�Q r p�L--- Backwater valve 16.60 --- Clothes washer IG.GO _ --- Dishwasher I6.Go Drinkin fountain 16.60 RO:'CRTY OWNER — TENANT E'ectors/sum _ 16.60 ame: _ (�L(t t_L- 7:5CD_tAZY�._ _ Ex ansion tank 16.60 Fixture/sewer ca 16.60 _ Address: - � i Fluor drain/floor sink/hub 16.60 C1tV/StUte/Ll : _ A7aa_ Garba a dis osal _ 16.60 Phone:501....Iax: Hose bib 16.60 TI—_ tAPPLICANT CONTACT PERSON Ice maker 16.60 Interce tor/ rease tra 16.60 Name: _ _ ----- — Pae 2 -- — Medical as-value: S Address: _ --.-- — Primer __ 16.60 City/State/Zip: ___—__._ Roofdrain commercial 16.60 — FaX: Sink/basin/lavatory16.60 Phone: -- Tub/shower/shower niin 16.60 E-mail: — Urinal 16.60 CONTRAC►nit water closet 16.60 Business Name: Mia r_C a p " p l t„� NVjtcr heater 16.60 Address: �� _ Other: City/State/Zi : 0& q 2 as Other. _. _._— � Plumbin>;Pcrmlt Fees* Phone: 503 a6--g Pax- — Subtotal s CCB 1.tC. #: Plumb. LIC.#: M.mimum Permit Fee$72.50 S Authorized Residential Backflow•Minimum Fee$36.25 _ Signature: bate'--9-3-1 -'3' Plan Review t,5°o of PCI mit Fee S �— �� State Surcharge L 6 of PermiRr.At Fee S - -- (Please print n�l T OTAL PERMIT'FEE. S Notice: This permit application explres if a permit is not obtained N ithio Allen diagram o facial buildings require 2 sets of plans with isometric or Igo days after U has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. i:\Dsts\Permit Fomu\PImPermitApp.doc 01/03 Plumbinp Permit Application -City of Tigard , Page 2 - Supplemental Information ` Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ca) Total Square Foote e: Permit Fee: Footing drain- I" 100' 55 0 to 2,000 5115.00 M 45.40 2,001 to 3,600 $160.00 Footing drain-each additional 100' 3,00, to 7,200 $220.00 Sewer• I st 100' 5500 7,201 and 1greater $309,00 _ Sewer•each additional 100' 46.40 Water Service-Ist I(V 55.00 Medical Cas S stems' Water Service-each additional 100' 46.40 Valuation: Periait Fee: Storm&Rain Drain-I st 100' 55.00 $1 00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-cacti additional 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 fur each additional 5100.00 or fraction thereof',to and Fixture or Item Qty. Per (ea) Total including$10,000-00. C'o iai back Flow Prevention Device 45.4(1 "10,001 00 to 525,000.(10 $14!,.50 for the first 510,000.00 and 51.54 for ke Biro .I IiackflOW Prevention DC1'ICe eac,additional$100.(x)or fraction thereof,to 27.55 __ and including$25,(M.00. ..;ino n. ,permit fee$35.25) 0(11.0 525, 0 to$50,00(1.00 $379,50 for the first$25,000.00 and$1.45 for Rain Drain.single family dwelling 55.25 each additional(100.00 or fraction thereof,to Inspection of existing plumbing or end includin $50,000.00. specialty requested ins ctions-per hour 72.50 $50,001.00 and up 5742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Fixture Work. Are you camping,11loving or replacing existing fixtures? If "yes",phase Indicate work performed by fixture. Failure to accurately report fixtures could result 'n Increased sewer fees*. Comments regarding lixulre work: uanlit b PlxUtrc Work 1`crformed Fixlurm T-pe: Replace _ New Moved Fxlslln Ca )cd Baptistry/Font - --- -- Bath -Tub/Slower _ -Jacuzzi/Whirl sol Car Wash -Each Sall --- — -- -- -Drive Thru _ __— Cus idor/Water A. Dishwasher -Commercial -Domestic Drin ing Fountain _ Lj ec Wash Floor Drain/sink -2" _-Y .4" Car Wash Drain *Note: If the fixture work under this permit results In an Garbage -Domestic increase of sewer EDUs,a sewer permit will Ile issued and Dispe3ai -Commercial fees assessed for the sewer increase must be paid before the -industrial Ice Much./Refer .Drains plumbing permit can be issued. Gil Separator Gas Station Rcc.Vehicle Dump Station Shower -Gang -Stall tiink -Bar/i.avutory -Bradley _ -Commercial -Service swi Ming Pool Filter Washer-Clothes Water Extractor Water Closct.1 ollet Urinal Other Fixtures: 0139tsTcm•Mit Fomjs\plmPcrrnitAppPg7.doc 01103 / "�"'P1. /� �� �_ MECHANICAL PERMIT CITY ITY O e DEVELOPMENT SERVICES PERSUE #: 4/3/03MEC23-00170 13125 SW Hall Blvd., Tigard, OR 97223 (503) 630-4171 DATE ISSUED: PARCEL: 1 1513 S135CD-08000 SITE ADDRESS: 09732 SW LONDON CT SUBDIVISION: LONDON SQUARE NO.2 ZONING: R-25 BLOCK: LOT: 032 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VEN"r SYSTEMS: STORIES: BOILERSICOMPRESSORS HOODS: FUEL TYPES 0 3 HP: DOMES INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: ! > 10000 cfm: Remarks: Install(2)gas liipin,e outlets lM fireplace an(l kcatcr heater. Owner: FEES MARCIE BROWN Description Date V Amount 9732 SW LONDON CT �ti11.('I I 1 Permit 1-cc 4/3/03 $72.50 TIGARD, OR 97223 I'I AX 1 Kit;,5tatc'I'as 4/3/03 $5.80 Total $78.30 Phone: 50-207-9499 — Contractor: NW GAS LINES ANTHONY M YOUNG 16731 NE WASCO ST REQUIRED INSPECTIONS_____ PORTLAND, OR 97230 Gas Line Insp _ Phone: 503-250-2430 Mechanical Insp Reg #: LIC 131136 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: �X'[h .Q,,�.�� t_ Permittee Signaturely/ /mL D ..'.=A.'.'Vu11-1 _ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanic.al Permit Application m ct,anfcal Datc/B : '� _G. Permit No.>lCICd-003 -UQ/1D Planning Approval Building City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Datc/B : Case No.: Internet: www.ci.tigard.or.us Contact Juris.: See Page 2 for 24-hour Inspection Request: 503-6394175 Name/Method: Supplemental Information. _ TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New construction _ Demolition Mechanical permit fees*arc based on the total value of the work Addition/alteratiott/re-place __ Other: performed. Indicate the value(rounded to the nearest dollar)of all CA]EGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. I & 2-Family dwellingCommercial/industrial Value: S See Pate 2 for Fee Schedule Accesso Buildin Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE Description QtY T FeRea-7 _Total Master Builder LJ_Other: _ Heatin Cooun JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning" 14.00 Job site address_�7 a Lznlnn�� Gas heat pump 14.00 Suite#: Bld ./A t.#: Duct work 14.00 Project Name: H drodic hot waters stem 14.00 Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 Unit heaters(fuel,not elcctris) in wall,in-duct suspended,etc. 14.00 Fluc/vent for any or above) 10,00 Subdivision:— Lot#: Repair units _ 12.15 Other Fuel Apt iliances Tax map/parcel #: _ Water heater �(G _ 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 10,bt Fiue vent(water heater/gas fire lace) 10.00 Log lighter(Bas) — 10.00 A Wood/Pellet stove _ 10.00 Wood fireplace/inscrt 10.00 _ Chimne /liner/flue/vent 10.00 PROPERTY OWNER TENANT _ Other: 10.00 ame: ' Environmental Exhaust&V_entilatlon` g � Range hood/other kitchen equipment 10.00 Address: 1?3;�,�� _ Clothes dryer exhaust 10.00 Cit /State/ZlpL. �LSingle duct exhaust Phone: 503 Fax: (bathrooms,toilet compartments, APPLICANT CONTACT PERSON utility rooms _ 6.80 Name: Attic/crawls ace fans 10.00 Address: _ Other: _ haat Pi In 1000 Cit /State/Zi : I "05.40 for first 4,$1.00 each additional furnace,etc. _ •• Phone: I rax: --��—_ Gas heat pump '• E-mail: _ Wall/suspended/unit heater '• CONTRACTOR Wete_r heater •• Business Nang;: �as�� he S f Ire a face — — •� Range •• Address: BB Cit /Stair;/Zip: Clothes dryer as *' Phone: 503 Other: •• CCB Lie. #: 1 13 Lo _ _ Total. Mechanics!Permit Fees* _ Authorized O _ Subtotal: S _ Signature: Date:�I-.3- 3 -- Minimum Pennit Fee$72.50 S _ T Plan Rcvicw Fee(25%of Permit Fee) S (Pie a print name) State Surcharge(8%of Permit Fee S _ --- TOTAL PERMIT FEE S _ Notice: This perndt application expires its permll Is not obtained Aitlihi "Fee"let lindol)gy set by Tri-County Building Industry Service Roard. 180 days after It has been accepted as complete. **site pian required for extirlor A/C unfts. 013sts\Permit Dorms\MecPermitApp.doe 01/03 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: _ Total Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 $5,001.00 to$10,000.00 $72.50 for the first 55,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including$10,000 00, S 10,001.00 to$25,000 00 S 148.50 for the first S 10,000.00 and $1.54 for each additional$100.00 or fraction thereof,to and including $252000.W $25,001.00 to$50,000.00 $379.50 for the first$25,000.x1 and $1.45 for each additional$100.00 or fraction thereof,to and including $50,()00.00. $50,001.00 end up $742.00 for the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof. Assumt d Valuations Per Appliance: Value 'total Description: Qty (Ca) Amount Fumace to 100,000 1311),including 955 ducts&vents Furnace>100.000 BTU including ducts 1,170 &vents _ Floor furnace includin vent _ 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units 805 <3 hp;absorb.unit, 955 to 100k BTU 3-15 hp;absorb.unit, 1,700 101 k to 500k BTU 15-30 hp;absorb.unit,501 k to 1 mil. 2,310 BTU 30-50 hp;absorb.unit, 3,400 1.1.75 mil.B'ru >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Air handling unit to 10,000 cfm 656 Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler 656 _ Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit I loud served by mechanical exhaust Domestic incinerator 1,170 Commercial or industrial incinerator 4t590 Other unit,including wood stoves, 656 inserts,etc. Gas piping 1-4 outlets _ 360 Fach additional outlet 63 TOTAL COMMERCIAL VALUATION: iADstsV'ermR FnrmsNMecl'ermi1AppPg2.doc 01103 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 5 MST _ INSPECTION DIVISION Business Line: (503) -.� BUP Received — Date Reques d_ 11 - AM PM BUP Location Suite — MEC 'd O U Contact Person —1_ Ph( ) Sa - 35 3 PLMContractor_ _ -__-_. Ph(. ) -_-_ SWR _ BUILDING Tpnant/Owner __ - _ ELC - Footing ELC Foundation Access: Ftg Drain ELR --_- Crawl Drain Slab Inspection Notes: SIT Post&Beam --_Shear Anchors 3;36 � -- Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation �"�� 44 Drywall Nailing -- --- �—— -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- -- --------- ---- -- Roof — ------ — _— —-- -------� Ocher: Final _PASS PART FAIL -- --- -- -- -�-- --- — PLUMBING - ----- --- ----- -- - --- Post& Beam • Under Slab ---- -- --- -- -- — — Hough-In Water Service —------ ----- -— Sanitary Sewer Rain Drains -- -- --- -- — -- Catch Basin/Manhole Storm Drain ------ ---_— _-. — — — --- Shower Pan Other: _ -------- ---------- -- Final P T FAIL -- — -�-- �� --- — ECHANI L -------- -- ----- — -- - Pos eam Rough-In (,l%�'����� --- ---- - — ----- -------- - Gas Line SC e Dampers -- ASS_ PART FAIL ----- .CTRICAL Service -- --_.-.� _--- — — —------------ ---- Rough-In — ---- -- ------------ ------ _— UG/Slab Low Voltage Fire Alarm Final lPART FAIL F-1Reinspectionfee of s. required before next inspection. Pay at City Hall, 13125"."W Hall Blvd. PASSSITE n Please call for reinspection RE: _— —_ -- Unable to inspect—no access Fire Supply LineADA '''�� Approach/Sidewalk Date -_ �—G _ Inas-Gator__— % - -- ut--- Other. Final DO NOT REMOVE this Inspeatlon record hom the job sko. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: d175 INSPECTION DIVISION Business Line: 71 MST _. BUP Received ._ Date Requested__ A — AM PM�'� BUP Location — 01111 �, �si�.R,� —Suite MEC Contact Person — — — __ Ph(—) 3 S^�3PLM __ �1�0 /_d_l Contractor Ph(_—___) SWR BUILDING Tenant/Owner _—.__—__—__ --. ELC Footing W! Foundation Access: Fig 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 PA �PART FAIL -- --- - LUMBIRO -- --- -- Post& Beam Under Slab Rough-In Water Service --- --- -- --- Sanitary Sewer Rain Drains ----- --- - -- - --- ---- Catch Basin/Manhole Storm Drain --- --- - - - -- --------- Shower Pan VPPA'Sgi) PART_ FAIL IHANICAL _ _— Post&Beam Hough-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. Fay at City Hall, 13125 SW Hall Blvd _PASS PART FAIL r_� SITE [� Please call for reinspection RE:_ u Unable to inspect no access Fire Supply LineADA (� Approach/SidewalkDeft A+/\, -_--�--- Inspoder-- � — F-r f Other:- Final DO NOT REMOVE this Inspection record from the job shoo PASS PART FAIL