9785 SW LONDON COURT-1 c0
00
Cyl
(n
r..
O
z
v
O
z
9785 SW LONDON CT
CITY OF TIGARD BUILDING INSPECTION DWISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-071 ---- -�
BUP
_.�-Z�Date Requested _-_ v? _AM __PM
BLD
Location. `f 7�� ,�ciUlt>v, �' —`_ Suite -�-- MEC ?
Contact Person _ Ph Y _ _ PLM
Contractor _ //Ph _ SWR
BUILDING _ Tenant/Owner �i�/(.0 l,' .�iGLD7`f.C_ Q � ELC
Retaini-,g Wall ELR
Footing --- —
Foundation Access: 4�g FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: -------
Slab -- �I / - SIT
Po::&Beam I - — - --
Ext Sheath/Shear
Int Sheath/Shear
Framing Q..t,,`► j ` `, .l /
Insulation /
Drywall Nailing
Firewall - -- -- --- ----
Fire Sprinkler
Fire Alarm -- —
Susp'd Ceiling
Roof --
Misc: _--- ... ---- -------- - - ---
Final
PASS PART FAIL - ------ - ---
PLUMBING _
Post&Beam --- ----— - -- ----
Under Slab
Top 61-t ---- ----- - -- - - --
Water Service
Sanitary Sewer -- -
Rain Drains
Final - - - -- ---- _ -
PASS PART FAIL
N[gCRANICAj.
Post eam --— - --- -- --
Rough In
Gas I_ini3 — - ----_- ---
eDampera
-'SASS PART FAIL
EL CE�TRICAL - - - - - -
Service ^�
Rough In
UG/Slab
Low Voltaqe
Fire Alarm
------ -- ------- --- -- ----
Final
PASS PART FAIL
SITE
Backfill/Grading _ -- -- ---- --
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Lines f ]Please call for reinspection RE: ( ]Unable to inspect no access
ADA
Approach/Sidewalk oach/Sidewalk Date / ✓ �_ Inspector-9' -V�. - .--Ext
-
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
r—
CITY SCF TIGARD
DEVELOPMENT SERVICES -r_RMT.T i:+PF '
.P`. .
13125 SW Hall Blvd., Cigard,OR 97223(503)539-4171 T)PTF T f1r,t..lf.'D
MNTW'-' t7 2
aC'''. . . . . . ., » . » 1.11T. . ., . . . , . » . J1..lr?1c.;D1 'TTnPJ: T .
1r3'7 Or WnRF, » :OTR r i,,ion f"URf 41. ,. . . : 0 Evnr r',nm r'w2,- o
Mr. rr' UrE'» . . . Ill':ITT I-IFiTrFR^. . » o VFNT FPN.l. . .
.11P^Nf-" (7PP. . . R7 rirNT W/n F1(''r.'q. : 0VENT' �iY!'iT!FMri r 4h
^f?TF"1. . » » , . . » , V: E1nTI..f'F?!;/CnMG'RFn5C1RP HnnD-q. . . . . . . » Q�
I. TV Pr cI t7t I►�. , . . : �� MIMES. I NC I N
154 HF'. . . . » m C.QMMI_.. T NC I N: 0
t T 1,JP JT: 0 BTt..J 1 30 HP. .. . .. : 0 r7C=P01 R W1I 7 5: 0
,•;�:.-r,4� t)t » Vi Wf1Cl1)�i'TC1VFf . »
15o r I iP. » ., fh f:t r) 0r7YEP . x
M t..INTT3 ___. _.___..__-. ATR !- PNJDl TNG UNTTOTHFP l..INTT!,. : 1
1 1710K IJTU: 0 t 1,0000 000 f m: 0
^, -1 0e(K 13TLJ: 0 > 10000 r_f m : 0
!- installation of gas firtplace and gas piping.
"i 1 C:i !;P V!:.'R t y J:)p ,=i m o t b y (1 i.4 t o r
r;W I._n!'JDMI i"T r00
�r7T) nn 77"';.'7 71Pr,T t 1 f1''='/n'a.
rt�t!rd n nr7gNCil r T RE Pl- ACI`!', A MnR
'nlrh► rtrC'aRRRANrIt _.....{____.._..__/ r_._._..___.._.._.__.
r2Ar21j np
4.
'his poreit is issued subjert to the regulations cnntained in t.ho Gas; l_ i.np Trisp
Tigard Municipal Cods, State of Ore. Specialty Codes and all Wor Meir.-hrcvr,ir-al Tris p
applicable laws. All work will be done in accordance with Migc-. 1'ns;�)ec7t ion
approved plans, This perait will expire if work is nut etarted F-i real T r.,rier-t i on
within IN days of issuance, or if work is suspended for acre
`han 180 days. ATTENTION: Oregon law requires you to follow rules
Adopted by the Oregon utility Notification Center. Thoie riles are
~et forth in OAR N@1-0910 through OAR 95 -K! 0080. 'sok., oay
ibtain copies ,.f these rules or direct questions to OUNC by calling
,i
CITY OF TIGARD r1dii 'lie "'
INlecharn:cal Permit Application P..ec'd By��-
13125 S'N HALL BLVD. Ccmmercial and Residential Date Rec'd����
TIGARD, OR 97223 Date to P.E._
(503) 639-4171, x304 Date to OST
Print or Type Permit# /-t t
_ V
Incomplete or illegible-applications will not be accepted Called _
I' Name of Deveiopmnnt/Pro)ed Description -
i
__� Table 1A Mechanical Code Oil' PPICE AMT
Jon street Addreea s�ten A) Permit Fee - 0 --67---i-0-0-0
Address
Bidga / L;dystate Zip 1.) Fumace to 100,000 BTU 6,00 -'
__ _including ducts&vents
Name(or name of bueinen) �2.) Furnace 100,000 BTU+ 7.50
Owner f G including ducts&vents
Ma111ng AddnC 3.) Floor Furnace 6.00
C1YN.C k• _includin vent
CMyisuu c� ZI Phone 4.1 Suspended heater,wall heater 6.00
J. ' l��� 1�'c�� � or floor mounted heater
Nam,( name of businessi 5.) Vent not included in appliance permit 3.00
Occupant Mailing Addrers 6) Boiler ur co np,heat pump,air cond. R 00
to 3 HP;absorb unit to 100K BUT-
City/State Zip Phone 7.) Boiler or comp,heat pump,air cond. Q0
_ 3-15 HP;absorb unit_to 500K BTU"
COritfac for Name8.) Boiler or comp,heat pump,air cond. 15.00
(L v^)C15-30 HP;absorb unit.5-1 mil BTU"
Prior to permit Mailing Address
55 Boiler or comp,heat pump,air cond.
asuance,a copy ' t �j 30-50 HP;absorb unit 1-1.75mil BTU" 22.50
o"all licenses City/State 21p Phone 10) Boiler or comp,heat pump,air , 0
are-v-quired if 'i N, n O c��� 37.5(c,;x, t, )` >50 HP;absorb unit 1.75 mil B I U,
expired in COT Oregon ICelan.Can. lb.t1 Exp.Data 11 ) Air handling unit to 10,000 CFM 4.5U
_ database `�� �- 4_y
Architect Name" 13.) Non-portable evaporate cooler - 4.50
or MeiOng Address 14.) Vent fan connected to a single dud 3.00
Engineer - 15.) Ventilationsystem system not included in 450
_ _ appliance permit _
Describe work New O Addition O Aiteratlon O Repair U 18.) Hse
ood rved by mechanir�l exhaust 4.50
to be done Residential O Non-residential O__
Additional sc,ription of rk � �i� - 17J Domestic incinerators 7,50 =_
t i f-Q V7lA_+51J1a
\v\ J 18.) Commercial or industrial type 30.00
incinerator
Existing use of 19.) Repair units 4.50
building or property
20.) Wood stove 4 50
Proposed use of 21 ) Clothes dryer,etc 4 50
building or property _ - �-
22.) Other units r./ 4 5U
_ 1+�S�r� _
Type of bel•oil O natural gas LPG O electric O 2 3.) Gas piping one to r outlets 200 y
I hereby acknowledge that I have read this application,that the 24.) More than 4-,er outlets(each) 50
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliancy with Oregon State QTY.SUBTOTAL n
laws. oar.
Signature of Owner/Agent Date - 'SUBTOTAL
5%SURCHARGE
Contact Person Name Phone ?LAN REVIEW 25%OF SUBTOTAL
TOTAL �J/�l(�p
i:Unechpmt.doc (rev9 ----" , - `- .
Minimum permit fee is$25+5%surcharge
"Residential A/C requires site plan showing placement of unit.