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11101 SW GREENBURG ROAD N N G N Ln C� C*J C�] N c G) d � r t t 11101 SW GREENBURG ROAD i tl CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---�-- -- BUP Date Requested /�-� % -AM PM BL.D _- --- -- ---- Location�.///CL �i"&C'�[� �� Suite MFC Contact Person Phi: / :J PLM Contractor c:;) ' dQLL Al I�e*+�� PA �,_ ;". c_f�� 3 3 SWR BUILDING Tenant/Owner V EL ' %/ f c 6 ' 7 Retaining Wall ELR Footing Access. Foundation FPS _ Ftg Drain - SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear "/ > Int Sheath/Shear Framing / / 5. - elloC Insulation -- - ----------------- -- Drywall Nailing Firewall Fire Sprinkler ____..._ _ 1r.E,j�2 — Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL ----- PLUMBING Post&Beam Under Slab Top Out ------ --- --------- Water Service _ Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Dost&Beam -- - - - --— ---- - — —� Rough In Gas Line ----- — - - Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Ana l! PART FAIL [ZIIE 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 R[: [ ]Unable to inspect no access ADA Z,4 Approach/Sidewalk Date - Z'el- Inspector l Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the fob site. CITY OF TELECTRICAL PIERMIT DEVELOPMENT SERVICES PERMIT #: EL.C99-0007 13125 SWHall Blvd„ Tigard,OR97223(503)639.4171 DATE ISSUED: 01 /05/99 (ER:C E:t.: SITE ADDRESS. 11101 SW "3RFENT;URG RD i SUBDIVISION. . . . . �`� - -_-- ZONING; I-P B)..00K. . . . . . . . . . .. LOT.• :; JURISDICTION: TIG Pr-oject Description: P9 POLE #5019 38W OVERHEf J SERVICE FOR TCI _._c�ESIDENT IAl. IJNIT-- _--TEMP SRVC/FEEDERS._._.___ ----.-.MISCELLANEOUS--._--. 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 FACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : V, LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . . 17, MANF. HM/ SVC/FDR. . : 0 601.+amps--1.000 volts. : 0 MINOR LABEL ( 10) . . . : 0 --- -SERVICE/FEEDER--_- .----BRANCH CIRCUITS--___ ._.----ADD' L- INqF'ECTIONS. 0 200 amp. . . . . . : i W/SERVICE OR FEEDER: 1 FIEF INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 Ist ter/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 +01 600 amp. . . . . . : 0 EA ADD' I_. BRNCH CIRC: 0 Ihl PLANT. . . . . . . . . . . .. 0 601 - 1000 .:amp. . . . . : 0 -_.________._._____-_FLAN REVIEW SECTION------__.__.---_- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT IV(JMINf')I--. . : Reconnect only. . . . . : 0 SVC/FDR >= E25 AMP'S. . : CLASS AREA/SPEC OCC. : Owner-: _.__._______. _.__..__._.._.._._.._______....._..____..._._.._.....______.__..._._._.. ........._.__.._.._. FEEO .--.. E LEE ROBINSON type a,Ioi.rnt by date recpt 15375 N14 WEST UNION RD PRMT $ 65. 00 .JSD 01/0151/99 99.-311950 PORTLAND OR 97229 SP'CT $ 3. 25 JSD 01/05/99 99-31- 1950 Phone #: Contractor . ANDERSONS INTEGRITY ELECTRIC $ 66. 1='S TOTAL. 18435 SW PACIFIC HWY STE D ____._._____ REDU I RED l NSPIECT I nNR - TUAL.ATIN OR 97062 El ect' l Service Phone s#: 52'4--4681 Elpct' 1 Final Reg ##. . : 000914 This pereit is issued subject to the roglilAtions contained in the Tigard Municipal Code, Stete of Oregon Specialty Codes and all other applicable laws. All worN mill be done in accordance with approved plans. This pertit will expire if work is not started within 188 days of issuance, or if worN is suspended for tore than 180 days. ATTENTION: Oregon law requires you to follow the rules adipted by the Dregon Utility Notification Center. Thnse rules a set forth in DAR 952-001-0018:through OAR ° !387. YOU lay obtain a copy of these rules or direct questihkio_D11NC by call n (503)?46-1987. I-le)-mittee Signatur-e : Iss1.rced 4;. 7NSTAL.L.ATION The installation is being made on property I nwn which is riot intended for sale, lease, or rent. CIWNFR' S SIGNATURE. DATE: INSTALLATION ONLY - _..•___. ... SIGNATURE OF SUPR. ELECTN: DATE: I_ICE'NSE NO: ++4-4.4.4.+++++•++++++++4.4++-4-4-+++4-+4.+++++++++++++++i.+++++++++++++4.++++4..++++++4.-++++-f Call 63?- 41.75 by 7:00 p. m. for, an inspection needed the next business day +"++++++++++++-+++++++ ►•+++++++++++++-++++++++++++++4-+++++++++.+++++++++ ti ! triill .' I CITY OF TIGARD Electrical Permit Application Plan check -4E-� 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd Date to P.E. Phone(503)639-4171, x304 Print or Type Date to DST Inspection (503)639-4175 Incomplete or illegible will not be accepted Permit k C Ali Fax (503)684-729'7 Called- T, -- o 1. Job Address: 4. Complete Fee Schedule Below: Name of Development _ Number of Inspections per permit allowed Name(or nam% usi►18ss)' Service Included: Items Cost Sum r«�a��f! >1>% 3S BC, tt00 Address I C}+ '-'i --5 NFN�T �" *�4 .� - .Fv� 4a. Residential-per unit CCity/State/Sp1 1000 sq,ft.or less $110.00 4 I y Each additional 500 sq,ft.or Commercial, Residential ❑ portion thereof $25.00 1 Limited Energy __ $25.00 Each Manurd Home or Modular Dwelling Service or Feeder ,i $68.00 2 2a. Contractor installation only; (Attach copy of T urrent licenses) -�-U r 4b.Services or Feeders Elactrical C. ntractor s r Installation,alteration,or relocation UoCJ Address 1943 ' ' t C_ -}{L„�y' 200 amps or less _ $60.00 2 201 amps to 400 amps $80.00 2 Cit ' % State Zip 4?U!o'Z_ 401 amps to 600 amps ___ $120.00 2 Phone No. (20`I I -7v "1 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 - Elec.Cont.Lice. No.3 N' 3(- c•.- Exp.Date_ Reconnect only $50.00- 2 OR State CCO Reg. No. 91 Y/C;) Exp.Date� 14c.Temporary Services or Feeders COT Business Tax or Matto No. ` Ex .Date Installation,alteration,or relocation �� - 200 amps or lase $50.00 2 Signature of Supr. Eleq' t 201 amps to 400 amps -- $75.00 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date� see"b"above. Phone No. - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchase of service or ti Print Owner's Name^ feeder too. Address Each branch circuit $5.00 S 2 b)The f to for branch circuits CityStateZip without purchase of Phone No, service or feeder tee. First branch circuit $35.00 2 The installation Is being made on property(own which is not Each additional branch circuit_ $5.00 i 2 intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature (Service or feeder not Included) g Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal clrcult(s)or a limited energy panel,alteration or extension $40.00 2 _ Please check appropriate item and enter fee in section 5B. Minor Labels(10) $100.00 -- _ 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.G.Chapter 5 In Plant $55.00 *Submit 2 sets of plans with application where any of the above apply. Jr. Fees: O� Not required for temporary construction services. 5a,Enter total of above fees $ CSS 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It required(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account 0 Total balance Due I MSMELC96 APP Rev 9/96