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9706 SW LONDON COURT cC V O ci N r 0 3 CL 0 m n 0 c 9706 SW London Court CITY OF TI'^AHD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received __- __ Date Requested �- ' 3 AM- ` PM BLIP Location _ tz� 7U(P—�_ Suite _ MECc Contact Person — - __ _ Ph( ) PLM Contractor - ___ _ Ph( ) D SWR BUILDING - Te ant'!lwner —. ELC Footing ELC Foundation �-" ----� Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear / Fran ng ( L j�ti�L`= — Insulation L `i, Drywall Nailing ___I1 ��—� �OC �, /��� /l � /�OScTIG — Firewall Fire Sprinkler - --- -- Fire Alarm Susp'd Ceiling Rouf Other: Final PASS PAnT FAIL PLUMBING Post&Beam Under Slab - --------------- --- -- ------- ---- -- Rough-In Water Service _— Sanitary Sewer Rain Drains --- ---_.._.__-._._._..------------�.- Catch Basin/Manhole Storm Drain -.-_--- Shower Pan Other: --- ------- --- -- ------ -- Final _ �-.._-- PASS PART FAIL ---- - -- f --- All - AIk`�v Post& deam RouFn-In - - ------ -- ----- - - ---- as CM S? - mpers - ---- ------ --- ----- ---- Ri PASS ART FAIL --- ------ ----- ------------- ELECTRICAL Service -- Rough-In UG/Slab Low Voltage --- -- ---- -- ---- - _- -- _..._.--------- Fire Alarm Final lPART FAIL Reinspection fee of$_-_ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASSSITE Please call for reinspection RE: __ __- _-.--___ Unable to inspect-no access Fire Supply Line ADA �{_d Approach/Sidewalk Date -- --- — Inspector - /-?)--! _-_ _ Ext Other: _ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00210 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/21/02 PARCEL: 1 S135CD-05800 SITE. ADDRESS: 09706 SW LONDON CT SUBDIVISION: LONDON SQUARE NO.2 ZONING: R-25 BLOCK- LOT: 010 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: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: i DOMES. INCIN: LPG 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 >-1001< BTIJ: <= 10000 cfm: GAS OUTLETS: 1 > '50000 cfm: Remarks: Run gas line to fireplace. Owner: FEES V T HELEN JONATHAN BARKLEY Type By Date Amount Receipt 9700 SW LONDON PRMT CTR 5/21/02 $72.50 272002000C TIGARD, OR '?7223 5PCT CTR 5/21/02 $5.80 272002000C Phone:503-620-8558 L_ Total $78.30 Contractor: ALADIN HEATING + A/C 1924 SW 32ND STREET GRESHAM, OR 97080-8500 REQUIRED INSPECTIONS Gas Line Insp Phone:618-8311 Final Inspection Reg #: LIC 00044097 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not startad within 180 days of iso,Bance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (tiniv?ae.a1 Ra Issue By: i i, Permittee Signature-.."( Call (.503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application - - 7Datc Permitno.: � .�� th!J'City of Tigard appl no. Expire date: Cm-of Fig(Ird Address: 13125 SW Hall Blvd,Tigard,(Wi-,97223 ued: By:b6 I Receipt no _ Phone,: (503) 6394171 / Case file no.: Payment type: I�ax: (S03) 598-1960 [� 1 ------ `/ .incl use approval: —. _- _ __- Building permit no.: t, =New mily dwelling or accessory U Commercil;Ui ulusOal U Multi-family -ITCnant improvement struction U Ad(Iitio(i/alteration/fcplaccnicnt U Other: —__ _--- - loll r tb address: Imlit-Me cyulpnwnt quantities in loxes below. Indicate the dollar ���`• `'"`-�"" � value of all mechanical materials,equipment,labor,overhead. F�1g.no.: Suite no.: 'i ax map/tux lot/account no.: _ profit. Value$ iat;� Block: Subdivision: *ties checklist for important application information and Project name: lurisdictiun's fee schedule for residential permit fee. t City/county: ZIP: -_ t Description and location of work on premises: R � ja �rti r'I►et �.� Ill I tM•(ea.) rural Est.date of completion/inspection: Uesni Oi}. Res.onh Rtr.onh Tenant improvement or change of use: Air handling unit _. CFM IF existing space heated or conditioned?U Yes U No Air conditioning(site plan require ) Is existing space insulated?U Yes U No Alteration of existing JIVAC system of er/compressors _ State boiler permit no.: Business name: /�l`�A�„,—i ne6 r �� HI' 'Pons B1U/H Address: Fire/smoke amper, uci smo a etectors City: _ State:Q ZIP: cat pump(site p an require ) -�Fdx: E-mail: nsta I replace urnace urncr / PhoneCsc i i f, b 31(I- Including ductwork/vent liner U Yes U No CCB no.: 4 14 0-9 7 nsta repac re ocate ficaiers-su— speeded. City/metro lic.no.: _ wall,or floor mounted Vent forappliance of er than furnace None(please print) a gent on: Absorption units BTU/II _ Chillers-._ _ HF Name: Com ressors Address: Snv runmen(a ex t st an vent at on: City: State: ZIP: Appliance vent Phone: I ,tk I'. mail: )ryerex ausl 01) s, ype res. itc a azmat hood fit suppression system -- Name: I j G v - V y 4 - J, R Exhaust fan with single duct(bath fans) x gust s stem a art from ,heatin or AC Mailing address: I ,;-� a — cue p p ng and st ut un(up to outlets) City: t,zr� --- Slate:L) ' ZIP: 9 Z Z Type: LPG NG 011 -- Phonu(� 3 G I ,• E-mail: �uc t m eac a itiona over out els rocesspiping(sc emaucregmrcdl - Numbei of outlets Name: __._ ler listedappliance or egTment: Address: I)ecoialive fireplace - _ Stair: ZIP: nsert-type Clty: of sten pc et stove _ Phone: --- - IE-mail: (h er. Applicant's signature: . t er: :y Name(print): Permit fee.....................$ N,a ill judidictions accept crtdlt cards,please call judsdicann for mare irdormWnn, Notice:This per- application Minimum fee................$ U viva U MosterCard � expires if a penv-t ie not obtained plan review(at %) $ _- rrtdit card number: within 18()days atter it has been State surcharge(8%) ....$ _ Name of cardhol r u a own on c it card accepted w complete. S TOTAL. ..............•........$ — Cardholder iitniture - Amonnt 44(14fiIi,NOnICOM1 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 8 2 FAMILY DWELLING FEE SCHEDULE: Price Total _ - Description: ally (Ea) Amt TOTAL VALUATION PERMIT FEE: _ Table 1A Mechanical Code $1.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU 14.00 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and indudin ducts&vents e $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ 17.40 fraction thereof,to and Including 2) ducts&vents _ $101000.00. 3) Floor Furnace 14.00 J$1t],001.00 to$25,000.00 $148.50 for the first$10,000.00 and inc,udin I vent $1.54 for each additional$100.00 or 4) Suspended heater,wall heater 1400 fraction thereof,to and Including or floor mounted heater - $25,000.00^ .00 and 5) Vent not Included in appliance permit 6.80 $25,001.00 to$50,000.00 $17950 45 for each additional$00 00 or -- - - fraction thereof,to and Including 6) Repair units 1215 $50 000.00. Check all that apply: Boiler Heat Air $50,001,0(1 and up $742. rst$50,000.00 andor $1.20 for each additional$100.00 or {oor items 7-11,otno as below.see Comp Pump Co�d 00 for the fi fraction thereof. - 7)<3HP;absorb unit 14.00 Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU _ 8)3-15 HP;absorb 25.60 8%.State Surcharge $ unit 100k to 500k BTU _ 9)15-30 HP;absorb 35.00 25'/.Plan Review Fee(of subtotal) $ unit.5-1 mil BTU -- Required for ALL commercial permits onl 10)30-50 HP;absorb 52.20 TOTAL OMMERCIAL PERMIT FEE: $ unit 1.1.75 mil BTU 11)>50HP;absorb 87.20 unit>1.75 mil BTU _ 12)Air handling unit to 10,000 CFM 10.00 ASSUMED VALUATIONS AREP PPLIA ue -- 13)Air handling unit 10,000 CFM+ --- - Value Total 17.20 Deacri tion: at Ea Amount955 14)Non-portable evaporate cooler Furnace to 100,000 BTU,Including10.00 ducts&vents, 1,170 15)Vent fan connected to a single duct Furnace>100,000 BTU Induding 6.80 ducts&vents - 9- 16)Ventilation system not included in Floor furnace including vent 10.00 955 it 17 Suspended heater,wall heater or a If 2E erm floor mounted heater er - )Hood served by medianical exhaust 10.00 Vent not induded in appllcance 445 ___ 18)Domestic incinerators 17.40 ermit 80 5 Re air units 955 19)Commerdal or Industrial type Incinerator 89.95 <3 hp;absorb.unit, to 100k BTU_ 1 700 20)Other units,Includin stoves 3-15 hp;absorb.unit, 10.00 101k t_ ___o 500k BTU --- 2,310 21)Gas piping one to four outlets 15-30 hp;absorb.unit,561k l0 1 5.40 mil.BTU J�_ _-. 3,400 22)More than 4-per outlet(each) 1.00 30-50 hp;absorb.unit, 1-1.75 mil•BTU 5,725 >50 hp;absorb• Minimum Permit Fee$72.50 SUBTOTAL: unit, Air Air handlin unimil.BTU to 10 000 dT - , eY.State Surcharge $ t 1,170 _._ ___ Air handling unit>10,000 cfm 858 $ Non-portable evaporate cooler 446 TOTAL RESIDENTIAL PERMIT FEE: Vent fan nonnectad to a single duct 656 ----------'- Vent System not Included In _ - Other Insgecpons end Fees: a Ilance 3ermIt 658 d _ 1 Inspections outside of normal�uslness hours(minimum charge-two hours Hooserved b mechanical exhaust Domest��eralof 1 17U E02 50 per hour 4 590 2 Inspections for which no fee Is specifically indicated (minimum charge-half hour (;ommerdal or Industrial Indnerelor 858 $u2 50 per hour Other unit,Induding wood stoves, 3 Additional �,onp lan review re2uli d by changes,additions or revisions to plans(minimum per Inserts,etc• .._----- 380 _ Gas i in 1-4 outlets - 63 Each additional outlet *state Contractor Boller Certification required for units>200k BT U. -Residential AIC requires site plan showing placement of unit. TOTAL COMMERCIAL All New Commercial Buildings require 2 sets of plans. VALUATION____ _ I:\dsts\fomn,:,mech-fees.doc 12/26101