Permit Support Document CITY OF TIGARD BUILDING INSPECTION NOTICE
' Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 - j
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in
Post/Beam Mech. San. Sewer Gas Line -:Id•.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: ( — / ( — !S Time: AM PM
Address: 9023 � a , t yD, •
Builder: T /W 14"- Permit #: M57 9— 013,
THE FOL OWING CORRECTIONS ARE REQUIRED:
635 -639
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Inspector: ( Date:WA
APPROVED • ISAPPROVED APPROVED SUBJECT TO ABOVE
all For Reinsp.
DEPARTMENT OF LAND USE & TRANSPORTATION
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 : 03/06/95
Time : 09:09
Permit Type : Residential Electrical Permit Permit # : 05064586
Permit Status : APPROVED Applied : 03/02/95
•
Situs Address : 9023 SW WAVERLY DR TI Issued : 03/02/95
Permit Title : SFR - NEW Completed :
Permit Descr. To Expire : 08/29/95
Project Title : SFR - NEW Project # : P0047970
Project Descr. : * EROSION *
Parcel Number : 2S1TI - Land Use District :
Valuation 0
•
•
Legal Descr. •
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : NORTH VALLEY ELECTRIC, INC. Classification : 900
Applicant Addr.: PO BOX 222 Occupancy : R3
WOODBURN, OR 97071 Validated by : LG
Applicant Phone: 982 -5916 Inspector Area :
Fee description Units Fee /Unit Ext fee Data
•
Square Footage (Enter Sq. Ft.) 2500 185.00
Limited Energy 1 25.00 25.00
Subtotal Electrical Fees: 210.00
State Surcharge of 5% 10.50
Total Electrical Fees: 220.50
* ** Fees Required * ** * ** Fees Collected & Credits * **
Method Check # Receipt No. Date Payment
CK 3684 03/02/95 220.50
Fees: 220.50
Adjustments: .00 Total Credits: .00
Total Fees: 220.50 Total Payments: 220.50
Balance Due: .00
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 Inspection requirements.
APPLICANT'S SIGNATURE
(A
- Al, WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
1. --• Electrical Inspection Section
155 North APPLICATION
155 North First Avenue, #350 -12
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 693 -4412 r --
K r O
Permit g te 1.� } 3� y
PLEASE PRINT Number Date
Please complete all sections, 1 through 5. 4. Complete Fee Schedule below
• Number of Inspections per permit allowed
1. Location of installation q
Address 70 23 SZv Ct�ue.JXN d7 2. Service included: Items Cost(ea.) Sum
Building -1 A. Residential - per unit
City h A i , - Q Suite No.
1000 sq. ft. or less I $110.00 / / 0 - 4
Tenant N6frie Each additional 500 sq. ft
(if commercial) or portion thereof $25.00 9S
a s'r(■ Limited Energy - 411 $25.00 -S 1
Map No. Tax Lot Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
Thomas Map Bggok: Page: Se ion:
Directions .L7a 2)-Po- lct .c1- L -04-47:1 B. Services or Feeders
�J Installation, alterations or relocation
200 amps or less $60.00 2
Commercial ❑ Residential F1 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
�• Over 1000 amps or volts $340.00 2
IV e 4 ZJ Cd
Electrical Contractor oti? 1 t)a lI�Ct l Reconnect only $50.00 2
Address P.O .bk .2...2.
City 1,0 fro A b u,n..i) State OR._ ZIP `1 -/ C. Temporary Services or Feeders
Date - - 9 Job Wmber Installation, alteration or relocation
Property Owner .1 .`. 200 amps or less $50.00 2
Contractor's License No a y 30 SL. G 201 amps to 400 amps $75.00 2
Contractor's Board Reg. No. 8g3 Da. 401 amps to 600 amps $100.00 , ") 2
�j Over 600 amps to 1000 volts see 'B' above
Signature of Supr. Elec'n ' ' c ry D. Branch Circuits
License No. (tea* -.5 _ Phone 9 e. -5 / (o 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
)Tint Owner's Name Phone No. purchase of service or feeder fee.
Address First branch circuit $35.00 2
Each add'nI 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 Al b Bo
System over 600 volts nominal A. Enter total of above fees $
Classified area or structure containing special 5% Surcharge (.05 X total fees) $ /0 s='
occupancy as described in N.E.C. Chapter 5
Subtotal $ 9 as S='
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 $
Balance Due $ a-
For inspections call This permit becomes null and void if 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 • period 01180 days.
24 -hour recorder, one working day in advance of need Electrical Permits are non - refundable and non - transferable.
8/94
• • • 1 • • •
AIN DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640 -3470
O INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
Permit #: 05064586 Project #: P0047970 Status : APPROVED Page 1 of 1
Applied : 03/02/95 Issued : 03/02/95 Expires : 08/29/95 03/03/95 05:41
RESELEC
Permit Title SFR - NEW OTH
Description Begun:03 /02/95
Job Address 9023 SW WAVERLY DR TI.
Owner Name INSPECTION - TIGARD Region
Applicant Name : NORTH VALLEY ELECTRIC, INC.
Phone number 982 -5916 Valuation: 0 Approved
Inspector Comments: Rejected
08 11 440,"6 ail hI(t i) _ea IVR- RESULTS
.iD c - / /34// Ronyh
REQUEST ERROR!
_C /47* ,CL .e 5 S . ,4/m (G4f4 /-f / -
gOe F 6 t S - r eiht) M 1 b0 tkZ D . A✓.✓ fa,Jir a Se�2
0( &AA 0'1 fAX- Sp/XeRS j p
d(l4.1 lrO R'IZ D
ce e' c e /c-fi°Roo -ee/
Plumbing tvC) rOde/!
Mechanical:
Electrical:
Structrual:
General .
Inspected by: / 'C /' 3 Date: y
Inspection Requested:
* Cover & Service 0403 E AP DN IVR
• PH
111111111
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 £#: 05064586 Project #: P0047970 Status : APPROVED Page 1 of 1
Applied : 03/02/95 Issued : 03/02/95 Expires : 08/29/95 03/07/95 05:31
RESELEC
Permit Title SFR - NEW - OTH
Description Begun:03 /02/95
Job Address 9023 SW WAVERLY DR TI
Owner Name INSPECTION - TIGARD Region D /
Applicant Name : NORTH VALLEY ELECTRIC, INC. v /
Phone number 982-5916 Valuation: 0 Approved
Inspector Comments: Rejected
IVR- RESULTS
REQUEST ERROR!
j 9 iC
Plumbing
Mechanical:
Electrical:
Structrual:
General
I nspected by :
Date: _3'
Inspection Requested: * y Q
Cover Sr Service 0403 E AP DN IVR
03 u 9b RI JS AM
03/03/95 RI PH
03/03/95 DN RG DNIVR LUT49 I BS
All9k DEPARTMENT OF LAND USE & TRANSPORTATION
W ASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
li iiiir
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640 -3470
OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
Permit #: 05064586 Project #: P0047970 Status : APPROVED Page 1 of 2
Applied : 03/02/95 Issued : 03/02/95 Expires : 08/29/95 04/24/95 05:01
RESELEC
Permit Title SFR - NEW OT}i
Description Begun:02 /02/95
Job Address 9023 SW WAVERLY DR TI
Owner Name INSPECTION - TIGARD Region 0
Applicant Name : NORTH VALLEY ELECTRIC, INC.
Phone number 982 -5916 Valuation: 0 Approved
Inspector Comments: Rejected_
IVR- RESULTS
REQUEST ERROR!
(ocktO U� ;- � f e 4 , 4 n J.-----1Z11.1-4.-.12 i CI
/V ®d- ce p' &__,_
Plumbing _
Mechanical:
Electrical:
Structrual:
General ikAil
Inspected by: Date: 1: 1- 2v- 9s
Inspection Requested:
* Final Electrical 0499 E AP Der.
04/24/95 J "TIM"/982-5916
PI F
Olt DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINC"sTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
lie 155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503 /640 -3470
OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
Permit #: 05064586 Project #: P0047970 Status : APPROVED Page 1 of 2
Applied : 03/02/95 Issued : 03/02/95 Expires : 013/29/95 04/26/95 05:0)1
RESELEC
Permit Title SFR - NEW OTH
Description Begun:03 /02/95
Job Address 9023 SW WAVERLY DR TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name : NORTH VALLEY ELECTRIC, INC.
Phone number 982 -5916 Valuation: 0 Approved
Inspector Comments: Rejected_
•
IVi - RESULTF.
REQUEST E R R O R !
g _ oihC`t.t,, c Q. e et v �� arc_ cc
0 yl1. )1/4sS- - ; � f
Ca_v l I-( 0 d S 74X2- \ ic v--�V`eS Plumbing : �� 1ti S' �o e ( 9 -c-c_. 4Q___
� 04 o (le a' 4 Ci p v - -
Mechanical: n 6,e � � f--; li17 i y� V .t G 6 le vo 1( 4 (
Electrical:
Structrual •
General .
I nspec.; ed by: f — Date: Y` 9 tb
Inspection Requested: .
.k Final Electric_a1 0499 E AP 6E 5 •
0 4 /2 f .' 5 RI I-`IAC "TIM' 982-5916
O /2.
<_ 5 RI J" "TIM"/982-5916 04/24/95 DN HS DNIVR LUT7 I BS