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12300 SW GRANT AVENUE r N W O O E 70 z H Cr7 z c I �I I i I I ITNM MS 00M CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Lim 639-4175 Business Phone: 6394171 C Date Requested: 67 I (� I 1 Y A.M. -- ------- C1 �.r � P.M. MS'i' Location: .� 3t Sl�l._1 �,J✓ O �1�-� p� � —— -- - BUP: Tenant: _ Suite: Bldg: T—_-- MEC: Contractor: Phone: �� - C ��-_� PLM: Owner: Phone: _ ELC: _ 'U� 1 C1'L — r J{(.'1 C_p�� -� �.�1_— ELR: SIT: BUILDING BLDG(con't) PLUMBING M11CHANICAI ELEC L SITE Site Post/Beam Post/Bcam Post/Beam Cov ice', Sewer/Storm Footing Roof Und►,USlab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-in UO Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace 'temp Service MISC. Masonry Ceiling Rain Main A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump _ Low Volt -_ Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approcc,I FINAL FINAL FINAL FINAL FINAL C3 Call for reinspection 0 Reinspection fee of S required before ,text inspection / C3 Unable to inspect Inspector: v7/,r" /,r" 7 W, d �` Date:—G�—S_.1`�?_ e '7 Page--h--of� - CITY CF TIGARD Ft_ECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0331 13125 SW H�,II Blvd., Tigard,OR 97223 (503)639.4171 DATE: ISSUED: 06/03/97 PARCEL : 2S102BA-01701 SITE ADDRESS. . . : 11='300 SW GRAN1 AVE SURD I V 15 1 ON. . . . :NO. T I GARDV I LLE ADD I T I ON AMEND. ZON I NG:R---1 ? BLOCK. . . . . . . . . . . LOl.. . . . . . . . . . . . . : 13 JtJh: '�.,:CTION: TIG Pr-o j ect De scr,i pt i on : instl 1 service/feeder on L15R monitering pole near bridge job t 57288 ---RESIDENTIAL_ UNIT---- -•---TEMP SRVC/FEEDERS --- - -----111 SCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 1 PUMP/IRRIGATION. . . . : 0 EACH ADD' L_ 500SF. . . : 0 201 - 400 amp. . . . . . . .1 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 01ANF. 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. : 0 PIER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . .. 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 - ---- - -- ---___.__.._..F'L.AN REVIEW SECTION--_____.__________._ 1.000+ amp/volt. . . . . : 0 ) --4 RES UNITS. . . . . . . . . ) C.,00, VOLT NOMINAL. . : Reconnect only. , . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner.: _________ _._.___._.._.__._._._.._-•---___.__.__----.--------.------____.___-___ FEES C1T'e OF TIGARD type amol_rnt by dater recpt 131225 SW HALL BLVD PRMT $ 60. 00 TAT OF403/97 97-295424 TIGAPD OR 97223 5F'CT 6 3. 00 TAT 06/03/97 97-2954x_'4 Phone #: Contractor; FRAHLER ELECTRIC CO $ 63. 00 TOTAL 11860 SW GREENBURG RD -------- REQUIRED INSPECTIONS -- TIGARD OR 9722,E Ceiling Cover, Undergroi_rnd C:u� e Phone #1: 639-462- Wall Cover- Elect' 1 Service Reg #. . : 000374 This permit is issue' subject to the regulations contained in the /I �� . Tigard Municipal Code. State of Ore. Specialty Codes and all other Permittke SidnatLar e, applicable laws. All work will be done in accordance with approved plans. This permit will expire if Mork is not started within 188 days of issuance, or if work is suspended fir more than 188 days. Issi_red By _-----------------------------OWNER INSTALLATION ONLY-------- ____----------__-.-- The installation is being made on property I own which is not intended for- sale, orsale, lease, or rent. OWNER' S S I GNATI.'RE: DATF: INSTALLATION ONLY------------------------ 3 I GNATURE OF' SUF'R. ELEC' N: Gv Z DATE: < Call for inspection -- 639-4175 CITY OF TIGARD Electrical Permit Application Plan Check It 13125 SW HALL BLVD. Rec'd By Date Rec'd TIGARD OR 97223 Date to P.E. Phone (503)639-4171, x304 Da,e to DST Print or Type Inspection (503) 639-4175 9 Incomplete or illegible will not be accepted Permit a Fax (503) 684-7297 -- Called 1. Job Address: 4. Complete Fee Schedule Below: Nams of Development ) '" -MAk V I Number of Inspections per permit allowed Name(or name of business) o& _ Service included: ItEtns Cost Sum Address GRANT STREET AT F A N N 0 CREEK 4a. Residential-per unit 1000 sq.1t.ur lass _-- $110.00 -- City/State/Zip 'i I G A R D.OR 9 7 2 2 3 Each additional 500 sq.1t.or por ion thereof $25.00 1 Commercial ® Residential ❑ Limitod Energy $25.00 Each :lano!'d Home or Modular Dwellli;;,arlice or Feedar $88.00 , 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor 1=R A H L E R ELECTRIC COMPANY Installation,alteration,or relocation Address 11860 Sri GItEENBURG ROAD 20smpsk $60.00 -60 . 00 ` 2011strips ttoo 4 400 u0 amiss $80.00 City T I G A R n State U_R Zip g]?21 401 amps to 600 amps $120.00 Phone No. 6 3 9-4 6 2 7 -- 601 amps to 1000 amps - $180.00 Job No. 5 7 ' 0 0Over 1000 amps or volts - $340.00 Elec.Cont. Lice. No. 3 7 4 1 0 Exp.Date 7/ 2/9 7 Reconnect only $50.00 OR State CCB Reg. No. 34- l 3C _Exp.Date 1 U/ 1 / 9 7 4c,Temporary Services or Feeders COT Business Tax or Metro No. 1 17 Exp.Date 12 1 97 Installation,alteration,or relocation 200 amps or less $51.00 , l ' nature of Su r. Eecn L - 201 amps to 401 amps $75.00 Signature L p 401 amps to 600 amps $10G.00 Over 801 amps to 1000 volts, License No, 181 6 S Exp.Date 10/ 1 / 98 see"b"above. Phone No. 639-4627 __ -- 4d.Branch Cirrults Now,alteration or extension per panel 2b. For owner insi gPPUCG i 101 a)The fee for of circuits with t I��n purchase at service or Print Owner's Name_ feeder fee. Address Each branch circuith) $5.00 The fee fur branch circuits City - State ZIP- without purchase of Phone No. service or feeder tee. First branch circuit $35.00 ___ 2 The installation Is being made on property I own which is not Each additional branch circuli_ $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owners Signature __ Each pump or irrigation circle $4000 Each sign nr outline lighting $40.00 3. Plan Review section if required):* Signal circuil(s)or a limited energy- $40.00 2-__- panel,alteration or extension Minor Labels(10) $100.00 Please check nippropriate item and enter fee in section 513. 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.C.Chapter 5 In Plant T X55 00 It Submit 2 sets of plans with application where any of the above apply. Jr. Fees: Not required far temporary construction services. Sa.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NQTJ..QE Subtotal $ 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review Ift2gui (Sec.3) $ NOT COMMENCED WITHIN 160 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 a c e e< $ 63 . 0 0 Total balance Dua N)STS1ELC96 APP nvv wm PER CAL CITY OF TIGARD F ERMITI#: E:LC9MZ0581 COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 09/06/96 13125 SW Hell Blvd.Tigard.Oregon 97223*8199 (563)639-4171 f-''ARCEL: te`.�10 '1?A--IZ11 70:1 SITIZ*_� W1)I11tES:i. . . : SW (aHANI AVk SUBDIVISION. . . . : NO. TIGARDVII_L.E ADDITION AMEND. ZONING: R- 12 BLOCK. . . . . . . . . . . L.01.. . . . . . . . . . . . : 13 P'r-oiect Description : Installation of 1 ser-•viLe ori feeraer, and 1 branch circuit. -- _ ItE:SIDENTIAL UNIT---_ .___TEMP ERVC/FEEDERS-•---- --..--MISCELLANEULIS----•-- 1000 SF OR LES13. . . : 0 0 - 2,00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EPCH ADD' L 500SF. . . : 0 2101 - 400 amp. . . . . . . : 0 SICJN/OUT LINE LTG. . : i��, l._IMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 GIUNAL/PANEL_. . . . . . . . 0 MANE. HM/ SVC/FDR. . : 0 601+amps- 1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0 . ---3E:RV I CE/F=EED1"R_____ _.___.__P(7AIV[:Fi ('_`I RCU I T5 --- - - -ADD' L INSPECTIONS-- 0 NSPECTIONS---- 0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 1 F''E:R INSP'ECTION. . . . . 0 1 - 400 amp. . . . . . : 0 1st WO SRVG OR FDR. : Ill PER HOUR. . . . . . . . . . . : IZI 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT.. . . . . . . . . . . : 0 r:,;1 1000 a:mp. . . . . : IZI _._........._.._.____..._._._.__....._ -ID'LAN REV 104 3F'CT ION- 101X10+ amp/volt. . . . . : QI ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOM.ENAL. . : Reccnnect only. . . . . : III SVC/FDR ) = ,_c'Ci AMFIS. . : CLASS AREA/SP'LC 0(-C. : Ownern ________.______.._._._._____._...._._..______---__.______.___. __.--.-_.-_-_-. FEES a TIGARD, CITY OF type amoi.lnt by date r,er_pt 13123 SW HALL BLVD PRMT t 65. 00 D*A 09/06/96 96-283660 5PCT $ 3. 25 D*A 09/06/96 96--2836GIP TIGARD OR 9720-3 Phone #: 639-4171 Contractor-: FWAHL_ER ELECTRIC CO E 68. 4:'5 -TOTAL 11860 SW GREENBURG RD REQUIRED INSP'EC.TIONS TIGORD OR '37._.='3 Wall Cover, Elect' 1 Final. Phone #: 503•-639-46E7 E:1 ect' 1 Service Req #. . : 37410 This permit is issued sub)ect to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other tee S i g na t lir e 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 1f work is suspended for more cf. than 180 days. ec1 Py ._.... ---.___..._.______.___._.__._._._._..._.._CJWNEi.R INSTALLATION CINLY_..-.__._.__.__._.____..._._. _._._.__.._.___.._..___..... The installation is being made on pt,operty I own which is not intencied for sale, lease, or rent. nWNEwR' 17 S i GNAT URL: ------.... - ---- DAT E ._._.-CONTRACTOR INST _E_ATION ONL_Y.-____...---•--....__.____._ . - 11 I UNA T URE= OF SUPR. ELLC' N: _ L.._ � ' DATE: I CENSE NO: Call for, inspection - c,39--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # :. Cel Phone (503) 639-4171 nate Issueti FAX (503) 684-7297 Issued by CITY OF TICd12D TDD No. (503) 684-2772 Inspoction (503) 639-4175 a. Job Address 7 uJ , p , y 55439 4. Comwle:e Fee Schedule Below: Name of Development UNFIED SEWERAGE AGENCY Number of Inspections per permit allowed Address 4-2-2-7-5 S . W . G R A N T Servica included Items Cost(ea) Srlm City/State/Zip T I G A R D 4a. Residential• per unit 1000 sq 11 Of lent; $11000 Name (or name of business) Eadf additional 500 aq II or portion thereof S2500 Commercial® Residential ❑ Limited Energy —� $2500 ach Manul'd Home or Modular Dwelling Service or Feeder $er+o0 2a. Contractor installation only: " 4b.services or Feeder. r Electrical Contractor F R A H L E R ELECTRIC -C,") Installation,alteration,or relocation _. zoo:mps or Lae 1 Seo 00 60 . 0 U Address 1 1 8 .i 0 S14 G R E E N B U R G ROAD 201 amps to 400 amps $sir 00 CityT I G A R D State)R Zip 9] ' ; 401 amps to WO amps WO 00 1 801 amps to 1000 amps $18000 2 Phone No. 639-4627 Over 1000 amps or volts $34000 Contractor's License No. .14- 13 C Reconnect only $5000 Contractor's Board Reg. No. 3 7 4 10 4c.Temporary Services or Feeders Installation,alteration,or relocation Signature of Supr. Elec'n 4, Cc 200 amps or less $5000 License No. 18 16$ P one No. 6 3 9- ?_ 201 amps to 400 amps $7500 401 amps to 800 stops _ $10000 Over 800 amps to 1000 volts 2b. For owner installations: see•b•above ETURN APPLICATION 4d. Branch Circuits Print Owner's NarT _ New,alteration or extension per panel Address a)The lee for branch circuits With City — Lip -- purchase of arvke or Bader he. Each branch circuit 1 $500 Phone No. b)The lee for branch circuits Wthout S� The installatiun is being made on property I own which is purchase or swvka or hada Am. not intended for sale, lease or rent. First brarx;h circuit $3600 _ Q� Each additional branch circurf $500 Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (it required): Each pump or irrigation circle $4000 2 W Each sign or outtins lighting $4000 Signal cimult(s)or a limited energy — 2 Please check appropriate Item and enter foe in section 5B. panel,alteration or extension $4000 4 -a more residential units in one structure Mina Labels(10) $10000 Service rind feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E.C. Chapter 5 I "'"nl~^'""' $3500 $,5500 Submit 7 +els of plans yrith application where any of the above $55 00 appl,, Not required for temporary construction services. 5. Fees: NOTICE 59. Enter total of above tP9s $ 65 . 00 5%Surcharge(05 X total fees) $ 7.= PERMI rS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCT;ON OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ rru COMMENCED Trust Account N $ FLOW METER SERVICE AT WEST END OF Balance Due $ 68 . 25 FANNO BRIDGE ON SOUTH SIDE . N fdrYleN�t Wilt mp