14032 SW BENCHVIEW TERRACE t�
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•� 14U3[ SW oENCHVIEW TERR
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 5C3/640-3561/693-4415
OREGON XXXXXXXXX--> 640-34'/U
Page 1 of 1
Date 11/15/94
'Time 09 : 10
Permit 'Type Residential Electrical Permit Permit # : UbU60732
Permit Status APPROVED
Applied 11/14!94
Situs Address 14U32 bW BE;NCHVIE;W '1.'l Issued 11/14/S4
Permit 'Title 5h'k - E:LE:C,'NFW HOUSE; Completed
Permit Uescr . 140.12 bW 8ENCHVIE;W '1'HRR. '1'o Expire 0b/13/9b
Project 'Title 54'k - HLDC/NE:W HOUSE; Project # P00454'/3
Protect Uescr , EROSION >t
Parcel Number : 251'1'1 - Land Use District
valuation U
Legal Uescr .
owner INSPE:C'1'IUN •- TIGARD Construction : O'1'H
Applicant Name DRYER & SUN,> ELECTRIC Classification : 900
Npplicant Addr. : 553b SE; WOOUS'1'UCK BLVD. occupancy
PUR'1'LAND, OR 9'/206 Validated by MAC
Applicant Phone : '/'/4-1bU6 inspector Are.D.
Fee description Units F'ee/unit Ext tee Data
------------------------------------------------------------------------------
bquare Footage ( Enter :.q. r't . J 3000 21 U . U
t-ubtotai blectricat Fees : 21U . U0
State Surcharge of b% lU . SU
Total Electrical Fees : 220 . 50
*** Fees Required *** *** Fees Collected & Credits ***
Method Check # Receipt No . Date Layment
CK 399'22 11/14/94 '2'LU . 50
Fees : '2'1.11 . 50
lidlustment.s : . UU 'Total Credits : . 00
Total Fees : 220 . 50 'Total Pavments : 22U . 50
Balance Due : . UU
I
NOTICE This permit becomes r.ull and void If the work or constriction 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 presenter by the applicant and
his agent or agents In support of this-lermlt Is true and correct to the best of our knowledge 1 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 c onstruction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans corrertlon 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
'4u structure or building permitted depends upon my calling for inspections si various times during the process of construction and the building
iospectlon 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 provit Iona)and revocable until the satisfaction of all Inspection requirements
APPUCANT'S SIGNATURE
�s/7Z
WASHINGTON COUNTY ELECTRICAL PERMIT
_ Department of Land Use & Transportation
155EleN, rt Inspection Section
Hil sbo oh Oregon First Ve97124 350- 12 APPLICATION
PPLICATION
Information: (503) 640-3470 Fax: (503) 693-4412 INV—
Please
Permit ,_.— /
PLEASE • - Number fiJ 060 72,;L Date
complete sections, through 4, Complete Fee Schedule below
1. Location of installation Number of inspections per permit allowed
Address �')s ;• Lt V( Frcv Service included: Items Cost(ea.) Sum
Buildingg A. Residential- er unit
City �� r� / Suite No. p
1000 sq.ft.or less _� $110.00 .//Q•O t 4
Tenant Name
(i1 commercial) Each additional 500 sq.ft
_ _ _ or portion thereof _L. $25,00
C� Lim ted Energy $25.00 _ 1
Map No. Tax Lot J Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00
Thomas Map Book: Page: Section: `
Directions___ _ B. Serlrices or Feeders
-- -- Installation,alterations or relocation
— 200 amps or less $60,00 2
Commercial Residential 201 amps to 400 Amps $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor installation onl 601 amps to 1000 amps $160.00 2
Y• Over 1000 amps or volts $340.00 2
Electrical Contractor _pp Y F g & �S-0N$ F I F f T g 1� Reconnect only $50.00 2
Address 3_h i _ F _ WOCCSTnrk RI f0 , _
Date_U.-11., ti 5r Job Number _ C. Temporary Services or Feeders
Property Owner E 1 C G 4f A C f/ Installation,alteration or relocation
Contractnl's License No. -2—E.43 3 C 200 amps or lose $50.00 2
Contractor's Board Reg. No, 1 11 A 201 amps to 400 amps $75.00 2
401 amps to 600 amps �_ $100.00 2
Signature of Supr. Elec'n Over 600 amps to 1000 vets see'B'above
Licimse No.4 c-y;Q Phone No. 71;1 Y ee D. Branch Circuits
New,alteration or extension per nanel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or feeder fee.
l;rint Ownei7s_Fime Phone No. Each branch circuit $5.00 2
b) The fee for branch circuits without
Address --- '— purchase of service or feeder fee.
__-_ First branch circuit __ $35.00 2
City State . Zip Each add'nl branch circuit $5.00 _ 2
E. Miscellaneous (Service or Feeder not included
The installation is being made on property I own Each pump or irrigation circle $40.00 2
which is not intended for sale, lease or rent. Each sign or nutfine lighting $40.00 2
Signal circult(s)or a limited
Owner's Signature _ _.._ energy parol,alteration
or extension $40.00
F. Each additional inspection over the allowable
3. Plan Review section (if required) in any ofe the above
Per insppection $35.00 _
Please check appropriate hem and enter fee in section EB. Per hour $55.00
_-4 or more residential units in one structure In Plant $55.00 �-------- -
_ ..."Service and feeder, 800 amps or more 5. Fees
__System over 600 volts nominal A. Enter total of above fees $ , G'O
___Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E,C. Chapter 5 Subtotal $
Submit 2 sets of plans with application where any of the B. Enter 25% of line A for
above apply. Not required for temporary construction Plan Review if required (Section 3) $
services. Subtotal $ _
Less Bulk Label Fee $
Balance Due $ ' c. s
640For inspections call This permit becomes null and void It the work authorized by the permit is not commenoed
-3561 or 693-4415 within tso days from date of Issuance of such permit or M the work authoelsed to
suspended or abandoned at any time after work Is commenced for a period of t W days.
24-hour recorder, one working day in advance l if need Ekmirleaf Pe,mlts are non-refundable and non fransferable.
4,94
L
WASHINGTON COUNTY RESTRICTED 1// /sy�3
Department of Land Use & Transportation RESS
Electrical Inspection Section
155 North First Avenue, #350-12 ELECTRICAL ENERGY
Hillsboro, Oregon 97124 APPLICATION
Information: (503) 640470 Fax: (503) 693-4412
PLEASE PRINT
Please completesections, , , Permit No. ��'_ ��k19G1
1. Location of installation Date _/7if
Address�'i-o3j Sw (3��cu�tfMl TIL - ----
City Zip Code 4. Type of work:
Map No. Tax Lot _ --
RESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page __ Section (for all systems)
Directions_li�� ta� ��r� �r.F �; Check type of work involved:
3u w n%rru 12 p' - - -- Audio and Stereo Systems"
Commercial [__� Residential urglar Alarm
Tenant Name Telephone Systems"
(if commercial) — Garage Door Opener"
This permit becomes null and void If the work authorized by the Fire Alarm
permit is not commenced within 180 days from date of Issuance
of such permit or If the work authorized is suspended or abandoned Heating,Ventilation and Air Conditioning Systems"
at any time after work is commenced for a period of 180 days. Vacuum Systems*
Electrical Permits are non-refundable and non-transferable. Other _
2. Contractor application:
Electrical Contractor s`y;neM;'li <<`mRmrl otTtc7ly� COMMERCIAL Fee for each system $40.00
Address �SS�-I r•tw Dy4u -i b'L9 bja- AoaT�a� q l (see OAR 918-280-280)
1- Check type of work Involved:
Date tr_2--4=1ti _ Job Number 51431;'__ yp
Property Owner
Contractor's License IJo. (r G( E Boiler Controls
Contractor's Boarl Reg. No. _�__%5� _ Clock Systems
Phone No.__Lc _�11 b w Data Telecommunications Installations
- -- Fire Alarm Installation
3. Owner application: HVAC
Instrumentation
- --- - ;
Print Owner's Name Phone No. Intercom and Paging System
Landscape Irrigation Control*
Address — Medical
Nurse Cells
ti`y Mate i Outdoor Landscape Lighting*
This permit Is Issued under OAR 918-320.370. The applicant agrees Protective Signaling
to make only restricted energy installations(100 volt amps o•less) Other
under this permit and to do the following: _ --
1. Only use electrical licensed persons to do Inetallatlons where
required. (Certain residential and other transactions are exempt Number of Systems
from licensing. These have asterisks I*). All others need livens-
Ing.)
2. Call for an Inspection when all the installations under this permit *No licenses are required. Licenses are required for ail other installations.
are ready for Inspection.
3. Purchase separate permits for all Installations that ere not ready 5. Fees
for Inspection when the Inspector Is out to Inspect under this ,
permit. Enter fees $ Lam__
4. Assume responsibility for assuming that all corrections required
by the Inspector aro done,and
S. Assume responsibility for calling for a final Inspection when all of 5% Surcharge (.05 X total above) $
the corrections are completed. y
The person signing this permit must be the applicant or a person Total $
authorized to bind the ap I/ t.
Signature _tf_-_ Jr _ _— Space below reserved for validation.
Authority if other then applicant _
For inspections call
640-3561 or 693-4415
'lel-hour recorder, one working day In advance of need
4 94
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--> 640-34
Page 1 of 1
Date 11/22/94
Time 12 : 57
1,ermit 'Type Residential Electrical P(. rLmLt Permit # 05060890
Permit Status APPROVED Applied 11/17/94
L, l.tus Address 14032 SW 8ENCHVIEW Ti Issued 11/17/94
Permit 'title SFR - ELEC/ALL ENCOMPASSING LV Completed
Permit Uescr . 'Ta Expire 05/16/95
Project Title SF'R - ELEC/NEW HOUSE Project # P0045413
Protect Uescr . * EROSION
Parcel Number 251TI - Land Use District
Valuation 0
Legal Uescr .
owner INSPECTION - TIGARU Construction OTH
Applicant Name : GARY ' S VACUF'LU Classification 900
Applicant Addr . : 901b SE F'LAVEL Occupancy R3
POHTLANU, OR 97266 Validated by KF
Applicant Phone : 775-2042 Inspector Area
Fee description Units F'ee/Unit. Ext fee Data
Limited Energy/Alter ./Extension 1 40 . 00 41J . U0 -
Subtotal Electrical Fees : 4U . U0
State Surcharqe of b% 2 . U0
Total Electrical Fees : 42 . UU
** Fees Required *+r* *** Fees Collected h Credits ***
---------------------------- ---------------------------------------------
Method Check # Receipt No. Date Payment
'DEP' 11/17/94 42 . 00
Fees : 42 . 00
Ad,lustments : OU Total Credits : . 00
Total Fees : 42 . UU 'Total Payments : 4 2 . U U
Balance Due : . 00
NOTICE This permit becomes null and void If the work or construction for which It Is Issued Is not cor menced within 180 days. Once constniction 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
hle 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 epplicabie 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 catling for Inspections at various times during the process of construction and the building
Inspection staff verifying crmpllance with the various codes Use or occupancy of the building of 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
specifyinq that the uire or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY RESTRICTED
of Land Use & Transportation
Electrical Inspection Section
155 North First Avenue,#350-12 ELECTRICAL. ENERGY
Hillsboro, Oregon 97124
Information: (503) 640-3470 Fax: (503) 693-4412 A rD L I CA�
completePLEASE PRINT
Please through Permit No.
1. Locatign of instal in Date
Address �'
City Zip Code 4. Type of work:
Map No. Tax Lot _
RESIDENTIAL Restricted Energy Fee $40.00
Thomas Map Book: Page _ Section (for all systems)
�� Check type of work Inv I
Directions ved:_ � � �
- udio and Stereo Systems"
Commercial ❑ Residential
rglar Alarm
Tenant yams ephone Systema•
(If commercial arage Door Opener*
This permit becomes null and void If the work authorized by the ire Alarm
permit Is not commenced within 180 days from date of Issuance
of such permit or If the work authorized Is suspended ora'
andoned eating,Ventilation and Air Conditioning Systems*
at any time after work Is commenced for a period of 180 days. Y6cuum Systems*
Electrical Permits are non-refundable and non-transferable.
2. Contractor application:
COMMERCIAL Fee for each system $40.00
q If 1 ' ti 1 11 i I I t I — (see OAR 918-260-260)
Check type of work involved:
Boiler Centrols
Clock Systems
Phone, No, Data Telecommunications Installations
Fire Alarm Installation
3. Owner application: HVAC
Instrumentation
Print Owner's Name Phone No. Intercom and Paging System
Landscape Irrigation Control*
Address — --- Medical
__ Nurse Cells
qty --�1ato Outdoor Landscape Lighting*
This permit Is Issued under OAR 918-320-370. The applicant agrees Protective Signaling
to make only restricted energy installations(100 volt amps or less) Other
under this permit and to do the following:
I. Only use electrics!licensed persons to do Installations where
required. (Certain residential end other transactions are exempt Number of Systems
from licensing. These have asterisks(•). All others need livens-
ing.)
2. Call for en inspection when all the Installs;:,,,s under this permit 'No licenses are required. Licenses are required for all other installations.
are ready for Inspection.
3. Purchase separate permits for all installations that are not ready 5. Fees
for Inspection when the Inspector Is out to Inspect under this �-
permit. Enter fees $ __
4. Assume responsibility forassuming that all corrections required _
by the resp ngIblior are dons,and 5% Surcharge .05 X total above $ „7
5. Assume respon+lblllty/or calling lora final inspection when all of g (
the corrections are completed.
Total The person sign+nr,this permit must be the applicant or a person To $
authorized to bloc'the applicant. . Gl�
Signature � Space below re erve v"Idaon."?
t:,ihority if other then applicant
For inspections call
640-3561 or 693-4415
24-hour recorder, one working day In advance of need
4/94
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 533/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit 5. 5060890 Project to : P004547.3 Status APPROVED F'agt- 1 of 1
Applied 11/17/94 Issued 11/17/94 Expires 05/16/95 12/05/94 07 : 11
RESELEC
Permit Tit.le SFR - ELEC/ALL ENCOMPASSING LV OTH
Description Begun : ll/14/94
Job Address 14032 SW BENCHVIEW TI
Owner Name INSPECTION - TIGARD Region
Applicant Name GARY' S VACUFLO
Phone number 775-2042 Valuation Approved
Inspector Co iments Rejected
IVR--RESU1,TC
REQUEST ERROR !
Inspected by : ✓ _.__.._ ?2�= Date
Inspection Requeste
Special Inspection 0412 E AF DN IVR
12/05/94 RI JM BURGLAR ALARM
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSF30RO, OR 97124
COUNT Y, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # 05060732 Project # P0045473 Status APPROVED page 1. of 1
Applied 11/14/94 Issued 11/14/94 Expires 05/1.3/95 12/08/94 05 : 31
RESELEC
Permit Title ,SFR -. ELEC/NEW HOUSE OTH
Description 14032 SW BENCHVIEW TERR Begun 11/ 14/114
Tab Address 14032 SW BENCHVIEW TI
Owner Name INSPECTION - TIGARD Re,,.,on I?
Applicant Name DRYEV & SONS ELECTRIC'
Phone number 774 -1 606 Valuation . Approved
Inspector Corftmens Rejected _
— - -- ---- — - _�_ REQUEST ERROR
Inspected b y _..__. 'C DateJ��---
Inspection Requested
* Cover & Service 0403 E AP DN IVR
12/08/94 RI KF
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 693-441!
Permit15060890 Project # P0045473 Status APPROVEU Page 1 ut
Applied 11/17/94 Issued 11/17/94 Expires 05/16/95 12/09/94 09 02
RESELEC
Permit Title SFR - ELEC/ALL ENCOMPASSING LV OTH
Description Begun : 11/14/94
Job Address 14032 SW BENCHVIEW TI
Owner Name INSPECTION - TIGARD Region
Applicant Name GARY' S VACUFLO
Phone number 775-2042 Valuaticn Approved._ -_
Inspector Comments Rejected
IVR-RESULT
REQUEST ERROR
Inspected by _ CGC '��V Date
Inspection Requestel/
+ ('aver 6 Service 0403 E AP PN R
12/09/94 R1 KF
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
COUNTY, PHONE:
NORTH FIRST, HILLSBORO, OR 97124
PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
App
.Job Addx•,.>5;! _ .
Own�'ax
N<ur,e ;t`. ,
PhcoiM num..�I.t , i i a t r c. r: / 35
T r;a
p i t�,trr,�r:•r �
I Mm -ha 11
F1H: tr , - x.
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c3Fr,Nr a i
i E'l. 'KE, X
DEPARTMENT OF LAND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION #350-12
WASHINGTONIND
NORTH FIRST, HILLSBORO, OR 97124
COUNTY, / PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # Ct';c,:til;- ?:: Pr• -�'{ect # F,t 004 p4'i St.at.us APPWiVED Page i of l
App! ied 11 /14/04 11: 77.1ed 31 /14/94 Expires 05/i :3/91 02/10/95 05 : 31
IiESELEC:
Permit T.r,t la ;:,F R - El,E( /NEW (,`rTH
40: 2 SW HENt."HVIE;W TERR Begii , 1 1 /14/94
Jur, Adar48s 1.4032 ::;W BFN(,HVIEW 7`_1�
Owner Name ;NSPF.'CT ION IuARD
Region I> /
App.l,icanh NamF- 1)kYl•.i & :'ONS ht,ECTRIC
Phone i'mmbt?r '4- ': 606 VaIual .ian 0 Apprr:, ,. e3-_-_ , ...
R j e ted
VR F.S1 IST
REQULST F'RIR?RI
P.lumbi.rrt _ 1>1Drr t Sl6J Quulf4, /Cj•/d
M P,---h a n j.,-,a
E1e c,ti- a1
Strurtrua1 _ .._.._..___....___._ .-....._
General
Insx,e,•-tP'i by _._ El _ ..... ..._
02 1 ta:�_ L_ ,.'KF3r. X " J17FI"/'7'14 16t1r.
U1./:? f :
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
-+1
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 603/640-3561 or 693-4415
Permit 4 : 05060732 Project P0045473 Status APPROVED Page 1 of 2
Applied 11/14/94 Issued 11/14/94 Expires 05/1 :3/95 02/23/95 05 : 31
RESELEC
Parmit Title SFR - EIEC/NEW HOUSE OTH
Description 14032 SW BEN(:HVIEW TERR Begun : 11/14/94
.lob Address _1.4912. . B&NCHVIEW TI
Owner Name INSPECTION - T��1f�b Region D
Applicant Name DRYER & SONS ELECTRIC /
Phone number 774-1606 Valuation : 0 Approved r/
Inspector Comments : G Rejected_._
/lLlk0 - <<� /.Ju I -R SULTS
I,* /� ' fes- �/
1,iAl 7.1 REQUE ERRO !
IX, v 5/GL(
Plumbing
Mechanical
Electrical
Structrual
Ileneral
Inspected by : - l!^ — Date : _ 2
Inspection Requested:
1Blectrica 0499 E AP DN IVR
6'FM7n---vT RW LOCKBOX "JDH"/774--1606
02/13/95 III EB L),
02/10/95 RI BW LOCKBOX "JDH"/774--1606
01/10/95 AP JU APIVR LUTB I 6s
`6f%27/95 - ^`BA LOCKBOX "JAB" 774•-1606
01/27/95 DN WJB DNIVR LUT2 I BS
CITY OF TIGARD RUILDING INSPECTION DIVISION
—'4-hour ;ns99c1,-ion Li;- 639-4175 Business Line: 639-4171 MST
IBLJP
DateRequestf +, AM PM
— IBLID
��4
Locatic n / &, _;�(t ' P , -
-,k�06: /1 t, ;,le!iz — Suite MEC
Contact F, r:.,,cn Ph PLM
Cont;actor Ph —)--j SWR
UILDINC, conant/Owner ELC
Retainir, .1,lo ELR
Footing Ac
Fc-tindpl, 1 FPS
no NOT REJUESTED
7n, POI JN') DURING RESEARCH SGN
ab I NO iNSPECTION,S) FOUND It' PILE
r,ost& -? \ SiT
Ext Sheath's --j
Int Sheath/b'
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUW.ING
Post& Beani
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Filial
PASS PAPT FAIL
MECHANICAL
Post& Bearn
Rough In
Gas Line
Smoke Dampers
Final
PASS PARI FAIL
ELECTRICAL
Service
Rough In
LIG/Slab
Low Voltage
Fire Alarm
WSV PART FAIL
VM
Backfill/Grading
Sanitary Sewer
Storm Drain Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line Please call for reinspection RE: Unable to inspect-no access
ADA
Approach/Sidewalk -
Other Date 7 0? liv-,pectnr Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
ELECTRICAL PERMIT
CITY OF TIGARD DATEIISSUED:C06/21//96
COMMUN;TY DEVELOPMENT DEPARTMENT
13125 5W Hall Blvd.Tigard,Oregon 97223.8199 (503)939 4171 PARCEL: 2S 109 BA—HS019
';ITE AUDREL)S. . . : 140:sc 5W B NCHV i EW TERR
":')UBDIVISION. . . . : HILLSHIRE SUMMIT ZONING:R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :019
.'ro•ject Description: Electrical permit for one additional circlAit and two hr-anch
circuits.
---F2F_5IDENTIAL—UNIT---- ----TEMP SRVC/FEEDERS----- -----MISCELLANEOUS--
1.000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
MACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTU. . : 0
t_IMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
IrIANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
---SERVICE/FEEDER---- ----BRANCH CIRCUITS---- —ADD' L INSPECTIONS--
0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
;201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
4W1 — 600 ramp. . . . . . : 0 EA ADD' L BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . : 0
601 — 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECT 13N------__—__------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. - 3 CLASS AREA/SPEC OCC. :
Owner: _________________.________.__.__________-__•----•--__..___—_-- FEES
OWNER type amount by date recpt
140:32' SW BENCHVIEW TERRACE. PRMT $ 45. 00 JMH 06/21/96 96-280854
5PCT $ 2. 25 JMH 06/21/96 96-280854
TIUARD OR 9"7 :24
►-'h un e #t 245-3385
Contractor: ---------------------------------------•---------------------------------
WEST5I DE ELECTRIC $ 47. 25 "TOTAL
7518 SW MACADAM AVE
----- - - REQUIRED INSPECTIONS -----
PORTLAND OR 97219 Ceiling Cover Elect' 1 Service
Nhone #s 503-245-3385 Wall Cover Elect' l Final
Rag #. . : 13306
This permit is Issued subject to the regulations coitained in the .4&-
1 r
StAte of Ore. Specialty Tigard Municipal Lode, P y Codes and all other Permittee Signat
applicable laws, All work will be done in accordance with
approved plans. This permit will expire if work is not started /~
within 188 days of issuance, or if work is suspended for mare
than 180 days. Lied By
--OWNER INSTAI_LAT g1d
The installation is being made on pr-operty I own which is not intended for-
sale,
orsale, lease, or rent.
OWNER' S SIGNATURES � DATE:
—•----•--CONTRACTOR INSTALLATION
SIGNATURE GF SUPR. ELEC' N: DATE:
_ 1 CENSE NO s
Call for inspection — 639-4175
I
06-20-9x1 01 : 16PM FROM NEST SIDE ELECTRIC p .
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec #
Permit # _ __ _
Phone (503) 639-4171 Date Issued —
CITY O/TI�piARD FAX (503) 684-7297 Issued by
TDD No. (503) 684-2772 ----
Inspection (503) 638.4175
i 1. Job Addren: 4. Complete Fee Schedule Below:
Name of Cevslopment _ Number f tnspectione per permit allowed
Addrsiits—,Ll' ����h7C/�y i p�� SarrAcv Included 'ems Cost(ea) Sum
Citylstatelzip_ r�' /�� as. heoldential-pe; unit -- a
7 000 sa 11 or Isen 41+000
Name(or namla of business)! /rL O� Fad addl errs f er, n a• ----
Poetics,IMnnl 92600 +
Commercial Resldentlal Lmned linarw we*0
Faah Manul'd home or Mod,Aar 2 i
DwalNng 8aN1�or Gaadar �{pp i
28. Contractor Instsllat/on Ohl : / 4b.8wvloes or Feeders
Electrical Contractor /! /A( L Irelallabon .Maxalon v,eloca!Inn !
ll 700 amp"er hs am 00 2
Address J IR rG 20!amps to 400 amps aa0 00 2
City r State Zip_ _� e0!amp,In aoo vena {+poop 2
mono No - — a— 80 •mp.lo 1000nmpa y_ {uo00
_ Ovc r 1000 amps or vJ"s 1.1ap no Q
Contractors License No. 2 G Q—M'Ae pn1y —"' 16000
Contractors Hoard Rag. No 40. Temporary Services or Feeders
retsllelron albnalsn n••ulncaim• !
Signature of Supr. Elec'n — 200 amps nr laaa Aso on 2
L Icense No. �S�-G I one No 7 y�" 201 cepa le 100 amp" {7g pp 7
- a01 amps to/q0 u••°e {10q q0
Over We ar"Im it I0 vols ~-
2b. For owner Installations: ih-.
fid,Branch Circuits
Print Owner's Name Nm elivabon or adenoon p.,parai
A!dreNB_ q Tha 4a lar branch amen wlrh
CI,1 State Zip OiOirchass a/.Aruba or IlnMr be 2
EMO"Moo,con"t
Phone No. _ b!The lea One branch o•ann eOlhoLt
Tne Installation Is being made on property I own whlrh Is purchase of""".r hewer res 2
not intended for sale, lease or rent. `'"t hm-h / tus 00 2
Farah seldllonal b•sr.,A anuit ee 00
Owner'@ Signature _ as.Miscellaneous
(Service or Moder not Included) !
3. Plan Review lsectlon (It required): Eaoh arm0 or nrlgatloe,drde Mo 00 Q
Ead1 wilm ar m1i'me light,,{ moo
AgnN eveun(s)or a(rrmnad 111 2
Planes cheek appropriate hem and anter fee M section 6B. pane+ ANeratlon a aelenalon iac o0
I _ 4 or more residential unila in one avjctlrs Mery Labels(top slop oo
Service and feeder 225 amps or more !—
Swam over Bao molts nominal 4f•Each alddlife el inspection over
ClasAilled area or structure containing epsclal occupancy the allowable In any of the above
as de@cAbed In N E C Chaptar 5 °jr '60"t", $1500
c.• Kb qo
�"°'a^I
Submit 2"to of plans with eppliestlon where any of the above 4!600
--
apply. Not required lot temporary construction services. Jam. Fees:
NOTICE
6o. Enter total of above tee{
$ s-
5%
-5,6 Surcharge(06 X local MSea) f
PERMITS BECOME VOID IF WORK OR CONSTRUCTION subrotal =
AUTHORIZED 15 NOT COMMENCED WITHIN 160 DAYS,OR IF Sb.Enter 25%of Imo A for
CONSTRUCTION OR WORK 19 SUSPENDFD OR ABANDONED FOR Plan Revl 1f required(Sec 31 f
A PERIOD Or 160 DAYS AT ANYTIME AFTER WORK IS Svbro s
COMMENCED
rLa!.aCnn1,M e s
Balance Due S V
1