16250 SW COPPER CREEK DRIVE ADDRESS:
1&2615 SW- rCreek JoLiVe
i:lrecords\micro`,n\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lint- (Rec-O•Phone): 639-4175 Business Phone: 639-4171
Inspection:_ V1 Cd Nl1fi L�LCt
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Ftruct. Plbg. Top Out eoW le 1 Rough-in FINAL:
Post/Beam Mach. Sari. Sewer Gas Line -Bldg.
Plbg. Undarfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: /r - �' Time:�AM PM
Builder:�2 ��— D,s d-r { �j i� Permit q: �
THE F�)LOWING CORE IONS ARE REOWI Ef3:
I;ispeclor.� Dater S
(APPROVED __DISAPPRO _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
ELECTRICAL PERMIT
CITY OFTIGA5--0542
RD DATTEIIS#UED:C11/09/95
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Ha11 BNd.Tigard,Oregon 97223.6199 (503)639-4171 PARCEL: 2S 1 14BA-14000
SITE: ADDRE55. . . : 162--"50 SW C01.`F'LR CREEK DR
SUBDIVISION. . . . ! COPPER CREEK STAGE `+ ZONING:R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1.05
Project Description: Install one branch circuit
---RESIDENTIAL UNIT---- ---TEMPI SRVC/FEEDERS---- -----MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT !_T";E LTG. . : 0
LIMITED ENERGY. . . . . : 0 X101 - 6e.0 amp. . . . . . . : 0 SIGNAL/PPNEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . 5 0
CIRCUITS-- ---ADD' L I NSPECT I ONS---
0 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
tel - 400 amp. . . . . . : 0 1st W/O SRV% OR FDR. s 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . 1 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . ,. . : 0
601 - 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION---_____-___._-.__
1004+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------------- FEES _______
CARPENTER type amount by date recpt
16250 SW COPPER CR PRMT f 35. 00 .SSD 11/09/95 95-272726
5P(.,T f 1. 75 JSD 11/09/95 95--27272A
TIGARD OR
Phone #:
Contractor:
ALPHA ELECTRIC CO f 36. 75 TOTAL
P. O. BOX 231015
-------. REUUIRED INSPECTIONS -----__._.
TIDARD OR 97223 Wall Cover
Phone #: 503-639-6661 Electrial Final
Reg #. . : 6093P-
This
0932This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore, Specialty Codes and all other Pie m i t t e e S i g n at u e
applicabl: laws. All work will be done in accordance with ---�
approved plans. This permit will expire if work is not started '
within 180 days of issuance, or If work is suspended for more
than 180 days. OWNER IN5TALLFl11 i sued By _
--...-__ ON
The installation is being made on property 1 owri which is not intended for
sale, lease, or- rent.
OWNER' S SIGNATURES _ DATES
--.---__CONTRACTOR INSTALLATION
SIGNATURE OF SUP'R. ELE^' N: _- ---....__... DATE:
I.,I CENSE NO:
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard. OR 97223 Permit #
Date issued
Phone (503) 639-4171
mum CITY OF TIOARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639•4175
1. Job Address: 4„ Complete Fee Schedule Below:
Name of Development _ — Number of Insi�wctlons per permit allowed
Address" q(-) Sul , \ '�. � �= Service included Irems Cost(ea) Sum
f
City/State/Zip, T 'a,^ 1 � �� 4a. Residential -per unit —
.00 4
I 1000 sq R or less $110
Name (or name of business)__ _ Each additional 500 sq ft or
portion thereof $2500
Commercial ❑ Residential Limned Energy $2500 1
Each Manurd Home or Modular
Dwelling Service or Feeder $69.00 2
2a. Contractor installation onl :
� 4b. Services or Feeders
� Installation,alternflon,or relocation
2
Electrical Contractor N✓� Y/r�crL 200 amps or less $6000
Address_�lrX� a- { - 201 amps to 400 amps 390.00 _ 2
401 Omni to 600 amps $120 00 2
City— —T L-1 tate c>f_ Zip 9 7 001 ernpa to 1000 amps
( 616000 _ 2
Phone No _ I ____ Over 1000 amps or voltsY 3340 00 2
Job NO Reconnect only _ $505u 2
contractor's license NO. = 4c. Temporary Services or Feeders
Contractor's Board Reg. No. S.-1 1Z— Installation,alteration,or relocation
Si edtC::1 200 amps or less 2
Signature of Supr. Ems,. 1 .t _ -+�- ---- 2
License No... ( _� =� Phone No. , t 201 amps to e00 amps — 35500
��=�-�� T 40t amps to 000 amps ~� $7500
•''
Over 600 amps In 1000 volts $10000 -
2b. For owner installations: see•'b•'above
4d. Branch Circuits
Print Owner's Narlle ___ _ New,alteration or exteosirn per pane
Address _ e)The fee for branch rlrcults with 2
Cit State. ZI purchase or serrles or Feeder fee,
City p--------- Fach branch circuit 1500 _
Phone No b)The fee for branch circuits wlrhout
The installation is being made on property I own which is purchase of service or feeder roe. t y 7
Fitch additional
not intended for sale, lease or rent. Float branch r Sar,00 J ^ _
M Branch circus 35(Y.)
Owner's Signature 4e. Miscellaneous
Plan
t (Service or feeder not included) 2
3, flan Review section (11 required): Each pump or Inlgatlon circle _` $4000 v 2
1� Each sign or outline lighting 34000
Signal circuft(s)or a limited energy 2
Please check appropriate Item and enter fee In section 6B. panel,alteration or extenslon $4000
_ 4 or more residential units in one structure Minor Labels(10) $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional irlspectton over
_ Classified area or structure containing special occupancy the allowable In any of the above
as described in N E C Chapter 5 Per lt,anecnnn �__ 500
Per hour $5 358.00 _
In slant 35500
Submit 2 sets of plans with application where any of the above -
apply, Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees E ,3 5 a
NOTICE 5%Surcharge (05 X total fees) E ~
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for �-
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review N required (Sec 3) $
A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS Subtotal $
COMMENCED. Trust Account #
wm«m
C�
Balance Due a ���•
ry
CITY OF TIGARD RECEIPT M PAYMEN1 RECI-EIPT 1\10. 1415-1-21pM6
CHECK AMOUNT a .:5&. 75
NAME a ALPHA ELECTRIC CAMPANY CAW AMIJUNT a tb. 00
ADDRESS a [--,a b0x 231015 PAYMP.-'Nl' DATE a 11 /09/9,43
TWARD OR SU1.41)I V tS ION
'MR23—
PURPOSE OF PAYMENT AMOUNT PAID PURP08b. OF PAYMP,.NT AMOUNT PAI 1)
35. 01A ST. BUILD N+,-R 1 105
l6i,50 I.A4 COPPER CR
'101 AL AM(.JUN'( PAID