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13158 SW CHIMidE,Y RIDGE STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 M" _
711
/r _ BLIP
De•.e Requested_ A�4 PM ESLD
Location (�. �� k�dgc St Suite MEC
Contact Person / Q,UL�Q Ph PLM _ —
Contractor / TA /c� 655 _ �_ ` Fn _ �c�,�._ SWR
BUILDING Tenant/Owner ELC -6
4 71
Retaining Wall t
FLR _
Footing Acss:
Foundation ,( /O �/j� (,,� ���/,�� FPS
Ftg Drain /v ( '` r
Crawl Drain Inspection Notes: SGN
Slab
Pos'&Beam C SIT
Ext Sheath/Shear 75� N/ ` C.C�� i
Int Sheath/Shear
Framing
Insulation -- "
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mise:
Final --- -- — i—!
PASS PART FAIL --- _
PLUMBING
Post&Beam --— —
Under Slab
Top Out
Water Service
Sanitaiy Sewer
Rain Drains
Final —
PASS PART FAIL
MECHANICAL
Post& Beam —
Rough In
Lias Line --- --
Smoke Dampers
Final -- - -
PASS PART_ FAIL
- -LECTRICAL � �`
Service
Rough In
UG/Slab
Low Voltage �+
Fifg A{arr*�
Fi
fjop HART FAIL
SITE
Backfill/Grading — — — - --
Sanitary Sewer
Storm Drain [ J Reinspection;fee of$ ,—required before next inspection. Pay at City Hall, 13125 SW l•'ell Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line C 1 p ( ]Unable to inspect-no ac^ess
ADA
Approach/Sidewalk
Other Date �' �' Inspector Ext _
Final V
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD EL.ECTRICAL PERMIT
4713
DEVELOPMENT SPERVICES PERMIT #: D: 08/l i/9
. .� DATE ISSUED: 08/1 i/98
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171
PARCEL: 2SI04AB-04900
SITE ADDRESS. . . : 1.3158 SW CHIMNEY RIDGE ",T
SUBDIVISION. . . . MORNING HILL NO. 4ZONING:R-4. 5
BLOCrS. . . . . . LOT. . . . . . . . . . . . . :k.178 JURISDICTION: TIG
Pro j ect De scr i pt i on: Installatio of 1 branch circuit.
- --RESIi)ENTIAI-. UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRR 1 GAT I ON. . . . : 0
EACH ADD' L_ 500SF'. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401. - EOO amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : Q+ 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
_..___SERVICE/FEEDER- -- ' ----BRANCH CIRCUITS----- ---ADD' L INSPECTION6 -
0 - E-00 amp. . . . . . : 0 W/SF.2VICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1 ct W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . . 0
401 - 600 amn. . . . . . : 0 EA ADE' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 _----- ------ _---FLAN REVIEW SECTION-----------------
10'AO+
ECTION------------------
1T'h0+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINr,L. . :
Reconne( only. . . . . : 0 SVC/FDR )_ 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: -------------------------------------------------------- FEES --------------
MARCUS REAVES type amoi_:nt by date rer_pt
13158 SW CHIMNEY RIDGE ST f'RMT t 35. 00 DEH 28/11/98 -9F -308169
TIGARD OR 97223 SPC:T $ 1. 75 DEH 08/11 /98 96-308169
Phone #:
Contractor: -- ------.--------------------
TRI--CITY ELECTRIC E 36. 75 TOTAL. -
PO BUX 687 J7
------- REQUIRED INSPECTIONS ----
MILWALIWTE OR 97267 Roi.tgh-in Elect' 1 Final
Phone #: 659-8222 Elect' 1 Service
Reg #. . : 50888
This permit is issued subject to the regulations c)%Lained in the Tigard Municipal Codi. State of Oregon Specialty Code! and all other
applicable laws. All work will be done in accordance with approved plans. This permit wA l expire if work is not started within 18Q
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requir you to foll,sv the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-MI-NIO tr}rtrligh DK1952-NI-1981. You may obtain i copy
of these rules or direct questions to ONC by Cal Iing/(5e3)246-1987.
Permittee SignatL:re: IssL:ed B�-_ ,
INSTALLATION ONLY----------------------- -_-`- -
]heinstallationis being made on property I own which is not intended for-
sale, lease, or rent. f
OWNER' S SIGNATURE: —�_ _ DATE:
-------CONTRACTOR INSTALLATION ONLY------ -- -------G--�/---
S I GNATURE OF SUPR. ELE C' N: -L�L�� 4------- _ DATE: `7 a
LICENSE NO: `r r -5
k+++++++++ 4.+++4++++++++++++4+++++++++++++++++++++++++++++++++++++++++++++++++a+
Call 639--4175 by 7:00 p. m. for an inspection needed the next b4:siness day
++++t+++++++f•+++++++++++1 ++++++++.++++++++•F+++++++++++++++++++•M++++++++++++++++
CITY OF TIGARD Electrical Permit AppikMion Plan'*_
13125 SW HALL BLVD. Recd ky 1•
TIGARD OR 97223 AUG 1 199 Date Recd
-•---�-'�
Phone (503)639-4171, x304 gate to P.E.
Inspection (503) 639 4175 Print or Type Date to DST
t
Fax (503)684-7297 Incomplete or illegible will no: be accepted Permit
Called "
1. Job Address: 4. Complete Feu Schedule Below:
Name of Development Number t Inspections per permit allowed
Name(or name of business) /_ R/tSu S I1 E_A V E =5 Service Included: Items Cost Sum
Address 5 v IJP• e altyi rl", i dr 1`_ r 4a. Recidentiai•per unit
T- 4 1000 sq,it.or less4
C::'t�!!State/Zip I !f A r;J �% j i 2 '� Each additional 5CJ sq.ft or -- $110-00 _
Commercial ❑ Residential I portion thereof $25.00 1
Limited Frergy $25,00
Fach Manul'd Home or Modular
Dwelling .00
20-. Contractor installation only: Service or Feeder $68 2-- ---
(Attach copy of al urr 1 licenses) 4b.Services or Feeders
1 Installation,alteration,or relocation
Addrss Electrical Go, tract )9I U f l �. Cy 200 amps or less i $60 c0 2
201 amps to 400 amps $80.00 2
city State Zip 97 2 e. 7 401 amps to 600 amps $120.00 2
Ph c ne No. (S-L 3 !5 5- d'11 1 611 amps to 1000 amp$ $180-00 _______ 2
Jnr 1 No. Over 1000 amps or volts $340.00 2
Elec.Cont. Lice. No. 3 _Z./q - Exp.Date ,u - I - 9ReconnOLI only $50.08 2
OR St?te CCB Reg. No. SL fi� 5 Exp.Date 4 -Z - g j 4c.Temporary Services or Feeders
COT Busir+esa Tax or Metro No.66W Zy03 Exp.Date_C2-L_ ti Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Supr.Eleen 201 amps to 400 amp. $75.00 2
- 401 amps to 600 amr a $100.00 2
�- Over 600 amps to 1000 volts.
License Nr _14U -� Exp.Date _ see"b"above.
PhoneN, (5 - t 4d.Branch circuits
Now,allocation or extension per panel
2b. For owner Installations: a)The fee for branch circuits with
purchase of"ry/ce or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
City State•_ Zip b)The fee for branch clrcr"s
without purchase of
Phone No. _ service or feeder fee. Ci
First branch circuit 1 $35.00 .3 5' 2
The Installation is being made on property I own which is not Fach additional branch circuit_ $5.00 _
Intended for sale,lease or rent. 4e.Miscellaneous
Owner's Signature _ (Service leader
Included)
Irrigation irl)
e ____ $40.00 2
Each sign or outline lighting _! $40.00 _ 2
3. Plan Review section (if required):* Signal circuits)or a limited energy
panel,alterr..t(on or extension $40.00 _ 2
�
Pleas Minor Labels(10) $100.00 check appropriate item and enter fee in section 5B.
4 or more residential units In one structure 4f.Each additional Inspection eve-
Service and feeder 225 amps or more the allowable In any of the above
System over'300 volts nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour -- $55.00
as described in N.E.C.Chapter 5 In Plant
1h Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $ ! •7
NOIICE Subtotal $ -
5b.Enter 25%of line So for
PERMITS BECOME VOID IF WORK OR CONSToJCTION AUTHORIZED IS Plan Review 9 ttaWred(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR'+ORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS,6 'ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Acroun',
Total ba►a►ice,Due
a