Permit /15775- g
DEPARTMENT OF LAND USE & TRANSPORTATION
AO% WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415
OREGON XXXXXXXXX - -> 640 -3470
Page . 1 of 1
Date : 03/10/95
Time : 15:42
Permit Type : Residential Electrical Permit Permit # : 05064953
Permit Status : APPROVED Applied : 03/10/95
Situs Address : 13752 SW ROSY CT TI Issued : 03/10/95
Permit Title : SFR - NEW Completed :
Permit Descr. To Expire : 09/06/95
Project Title : SFR - NEW Project # : P0048218
Project Descr. : * EROSION *
Parcel Number : '251'1'1 - Land Use District :
Valuation 0
Legal Descr. •
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Owner : INSPECTION - l'IGARD Construction : OTH
Applicant Name : '1' & M ELECTRIC, INC. Classification : 900
Applicant Addr.: 833 NE BALDWIN ST Occupancy : R3
HILLSBORO, OR 97124 Validated by : LG
Applicant Phone: 648 -6556 Inspector Area :
Fee description Units Fee /Unit Ext fee Data
Square Footage [Enter Sq. Ft.] 2500 185.00
Subtotal Electrical Fees: 185.00
State Surcharge of 5% 9.25
Total Electrical Fees: 194.25
* ** Fees Required * ** * ** Fees Collected & Credits * **
Method Check # Receipt No. Date Payment
CK 4049 03/10/95 194.25
TOTAL THIS DA'Z'E * * * * * * * ** 194.25
Fees: 194.25
Adjustments: .00 Total Credits: .00
Total Fees: 194.25 Total Payments: 194.25
Balance Due: .00
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NOTICE: This permit becomes null and void if the work or construction for which It Is Issued is not commenced within 180 days. Once construction has started,
the permit becomes null and void If construction is interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents In support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued
specifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all ins . bon requirements.
1/
APPLICANT'S SIONAT
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fire la
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Me •
Underflr. Insul. Shear Wall Gyp. Bd.
Date Requested: - 7 - Time: AM PM
Address: j 3 7 �f oZ � S C •
Builder: ( 42C
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: c ca - ` _ Date:
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
•
� w asH mentof COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
Electrical Inspection Section
155 North First Avenue, #350 -12 APPLICATION
Hillsboro, Oregon 97124
Information: (503) 640 -3470 Fax: (503) 693 -4412
Permit �� �1�� �� Z/e
PLEASE PRINT Number J Date 66
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
1. Location of installation Number of Inspections per permit allowed
Address i 3 -2 S a 5 w 6 Sy � Service included: Items Cost(ea.) Sum
Building l A. Residential - per unit
City t 5 No Suite No. 6 k ni
9 1000 sq. ft. or less $110.00 0 4
Tenant Name Each additional 500 sq. ft 7
(if commercial) or portion thereof $25.00 /
�
Q Limited Energy $25.00 1
Map No. o� I ( Tax Lot Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
Thomas Map Book: Page: Section:
Directions B. Services or Feeders
Installation, alterations or relocation
200 amps or less $60.00 2
Commercial ❑ Residential N 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor installation only: 601 amps to 1000 amps $180.00 2
Y• Over 1000 amps or volts $340.00 2
Electrical Contractor " e r --yam E �L, 1- e_ Reconnect only $50.00 2
Address - , n.7 ' A 1.•
City 14 t' .s - DM State, ZIP a) )i a % C. Temporary Services or Feeders
Date Jab Number Installation, alteration or relocation
Property Owner A ' v t, _ ' / 200 amps or less $50.00 2
Contractor's License No. 3 it ^ J y 1 201 amps to 400 amps $75.00 2
Contractor's Board Reg. No. 4, 3 , $ 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts see 'B' above
Signature of Supr. Elec'n D. Branch Circuits
License No. ) S Phone No. ,,X.5rJ- / SG 6 New, alteration or extension per panel
a) The fee for branch circuits with
2b. For owner installations: purchase of service or feeder fee.
Each branch circuit $5.00 2
b) The fee for branch circuits without
Print Owner's Name Phone No. purchase of service or feeder fee.
Address First branch circuit $35.00 2
Each add'nl branch circuit $5.00 2
City State Zip E. Miscellaneous (Service or Feeder not included)
" Each pump or irrigation circle $40.00 2
The installation is being made on property I own Each sign or outline lighting $40.00 2
which is not intended for sale, lease or rent. Signal circuit(s) or a limited
energy panel, alteration
Owner's Signature or extension $40.00 2
F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection $35.00
Per hour $55.00
Please check appropriate item and enter fee In section 5B. In Plant $55.00
4 or more residential units in one structure 5. Fees
Service and feeder, 800 amps or more
System over 600 volts nominal A. Enter total of above fees $ I u ;25-
Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $ -
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $
above apply. Not required for temporary construction Subtotal $
services. ❑ Trust Account $ q
Balance Due $ l g y
For inspections call
Thls permit becomes null and void 11 the work authorized by the permit is not commenced
640 -3561 or 693 -4415
within 180 days from date of Issuance of such permit or if the work authorized is
suspended or abandoned at any time after work is commenced for a period of 180 days.
24 -hour recorder, one working day in advance of need Electrical Permits are non-refundable and non - transferable.
8/94
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640 -3470
OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
Permit #: 05064953 Project #: P0048218 Status : APPROVED Page 1 of 1
Applied : 03/10/95 Issued : 03/10/95 Expires : 09/06/95 04/17/95 05:01
RESELEC
Permit Title SFR - NEW OTN
Description Begun:03 /10/95
Job Address 13752 SW ROSY CT TI
Owner Name INSPECTION - TIGARD Region 0
Applicant Name : T & M ELECTRIC, INC.
Phone number 648 -6556 Valuation: 0 Approved
Inspector Comments: Rejected_L_
IVR- RESULTS
_._ REQUEST ERROR!
Cot caz le_d_ b c c
Plumbing
Mechanical:
Electrical:
Structrual:
General :
Inspected by: kg Date:/ 9-,r
Inspection Inspection Requested:
* Cover & Service 0403 E AP ON IV1't
04/17/95 RI RIIVi 34 -148C C E
DEPARTMENT OF LAND USE & TRANSPORTATION
4ft WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640 -3470
OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
Permit #: 05064953 Project #: P0048218 Status : APPROVED Page 1 of 1
Applied : 03/10/95 Issued : 03/10/95 Expires : 09/06/95 04/18/95 05:01
RESELEC
Permit Title SFR - NEW OTH
Description Begun:03 /10/95
Job Address 13752 SW ROSY CT TI c4S442 A i `I
Owner Name INSPECTION - TIGARD - Region 1)
Applicant Name : T & M ELECTRIC, INC.
Phone number 646 -6556 Valuation: 0 Approves
Inspector Comments: Rejected
IVR- RESULT:
REQUEST ERROR!
Plumbing .
Mechanical:
Electrical:
Structrual:
General
Inspected by: 11 4 Date: INF
Inspection Requested: I
* Cover & Service 0403 E AP ON IVR
04/18/95 RI HS f I IVil LUT7 I BS
04/17/95 RI RIIVi 34 -148C C E
04/17/95 DN HS ONIVR LUT7 I ES
• ' JUL-06-1995 08:26 WASH. CNTY. OR. LUT/BLDG 1 503 681 3993 P.01
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON • LAND DEVELOPMENT SERVICES DIVISION 935042
.. 155
COUNTY, NO PHONE: RTH FIRST, HILLSBORO, OR 97124
. 503/840-3470 .
•
OREGON INSPECTION REQUESTS (24 hours): 503/840-3581 or 893-
.
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1 Fiermit. II: • 05954953 -, Proje ct 8: P0048218 Statui • : APPROVED - • ' -• • Ihige . 1 of 2
- APPlied• : 03/10/95 • . Issued 03/10/95 Expire s: : 09/06/95 • : • • • 07/06195. OS: 02
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. Permit itile : SFR • - NEW
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OTH
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pscription . .. ,.• : - . ' • ' • Begun: 03/10/9S • . . .
iii:F.Addrees , : • • 13152 SW ROSY CT if • .
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rOserier Name : INSPECTION - TIGARD . . • Region D. '....
Ia•iiiaant. Name ; T IV N ELECTRIC, INC
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:41iiiiie' number • •••••-: . 648 •" ' Valuation; • • ' 0 Approved
Approval*: APPR . • .
V•iiSpe c tor Comments :
:
Rejected
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IVR-RESULTS
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7,•J;i•-::. • .
REQUEST ERROR!
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inspected by : . • Date :
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,inspection Requested:
4 Electrical 0499 E AP DN IVA
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'' # , .. _ 'DEPARTMENT OF LAND USE & TRANSPORTATION :'
•, LAND DEVELOPMENT SERVICES DIVISION #350 -12'
• •'•'''''' . A W ASHINGTON ; . - •
155 NORTH FIRST, OR '97124
COUNTY, PHONE: 503/640 7 3470
°` 'OREGON INSPECTION REQUESTS (24 hours) :' 503 /640 -3561 or 693 -4415 ,
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t _ `' ? t DEPARTMENT OF LAND. USE & TRANSPORTATION.
'° s WASHINGTON LA DEVELOPMENT SERVICES; DIVISION # 350 -12
155 NORTH FIRST,. 97124..
• 1. ' COUNTY, PHONE: 503 /64 -3470 . • . �, 'OREGON - INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
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tip'p1.ie'd. . •0.3/'10/UC 'I alsLired 03/ 10 /{:lid Expires, 0 i.::: / 0 6 / 9 S - ' - O7/06�/,`.',4 '..; U'e, 0.2 •
A..Id7;i . dd es"` " ' 5 ? Su P.tiE :Y _, - T I ' .. , • r. Apg)l i,.c.:int: Nz c T & AI EL EL7.'T.. C•_ INC: '. . ,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in • .pr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: Time: AM PM
Address: ( 37Sa- 6 / C
M
Builder: Permit #: ST ,c
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: , /T?-1arnas Date: 7-r., 7 S
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.