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12933 SW GALLIN COURT a crr w w ! d n 0 c 1 a i 12933 SW Gallin Court CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Haur Inspection Line: 639-4176 Business Line: 639-4171 MST BLIP Date Requested —AM ,PM _ _ BLD Location��y ?.-3 5 �v �(i Suite MEC Contact Person _- Ph (alPLM _ Contractor _ Ph SWR BUILDING Tenant/Owner i ELC J-GU rf Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain -- Crawl Drain Inspection Notes: SGN -- — Slab SIT Post&Beam ,-- �- Ext Sheath/Shear Int Sheath/Shear - — Framing InsulaCin ---- ---- -- - Drywall Nailing Firewall Fire Sprinkler ---- ----------- Fire Alarm - ---- — -- ..._ ---- Susp'd Ceiling / Yi CI I _.—✓. Roof -- Misc: Final -- PASS PART FAIL PLUMBING --- — -- Post&Beam --- Under Slab Top Out — Water Service Sanitary Sewer — — — Rain Drains Final PASS PART FAIL MECHANICAL — Post&Beam — Rough In Gas Line --- _ — Smoke Dampers Final — — — PASS PART FAIL Service Rough In UG/Slab _ Low Voltage Fire Alarm ASS PART FAIL 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:— — t )Unable to inspect-no access ADA Approach/Sidewalk _ Other Date J _ Inspector_ yl Ems[ _ Fxt Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job alb-. asp CITY a,`��.�/I F T I GA R D ___ELECTRICAL PERMIT PERMIT#: ELC200'i-00195 DEVELOPMENT SERVICES DATE ISSUED: 04/19/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104DA-03800 SITE ADDRESS: 12933 SW GALL.IN CT SUBDIVISION: QUAIL HOLLOW- 'JEST ZONING: R-4.5 BLOCK: LOT : 024 JURISDICTION: TIG Proiect Description: Installation of(') metered pedestal and (1)street light, (2)branch circuits. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: P'JMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amt,: SIGNAL/PANEL: MANF HMI SVC/ FDR: F014-amps • 10i 0 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS _ 0 - 200 am!): 1 WISI=RVICE OR FEEDER: 2 PER INSPECTION: 201 - 400 arop: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 ,•amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amts: _PLAN REVIEW SECTION 1000+ wnp/volt: >=4 RES UNITS: > 600 VOLT NOMIN%L: _ Rer:on,iect only: SVCIFDR >= 225 AMPS: _CLASS AREA/SPEC JCC: Owner: Contractor: CYPRESS VENTURES INC. R J RJUSE ELECTRIC INC 5335 SW MEADOWS RD. 1940 SW CIFOLE ROAD SUITE 365 SUITE 107 LAKE OSWEGO, OR 97035 TUAL.ATIN, OR 97062 Phone: Phone: 503-624-1333 Reg # 0 661S ELE 34-359C FEES Required Inspections — Type By Date Amourt Receipt Wall Cover PRMT CTR 04/19/2001 $93.60 2720010000( Elect'I Service Elect'I Final 5PCT CTR 04/19/2001 $7.49 2720010000( Total $101.09 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if wark is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain oopies of these rules ordirect questions to OUNC at(503) 246-6699 or 1 X300-332-234'. Permit Signature: 17 f Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ____---__— DATE:__ CONTRACTOR fINSTALLATIONN ONLY SIGNATURE OF SUPR. ELEC'N: LIXAL-tcet tlt, d Q�i� DATE:__. ________ LICENSE N O: --- Call t,39-4175 by 7:00pm for an inspection the next business day FROM : R. J.Rouse E l ec a,r i c t I nc. FAX NO. : 5036120891 Apr. 18 2001 02:36PM P1 electrical Permit Application -- - Datcrcccived: -4.0)-- Pcrmitno.: - f•-06,N A4City of TigardRECHProject/appl.no.: E.xpiredate: ChrynJTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date)ssued; By: Receipt no.: Phone: (503) 639-4171 N FIR L a ZOO — Fax. (503) 598-1960 Care file no.: Payment type: COMMUNITY DEVFlOPMENI Land use approval: _-- 0 2 family dwclGup ur aecessury J CommerciaVindustrial J Multi-family a Tenant irnpruvrfile nt IQ New construction U Add ifion/alleiatiordreplacernem U Other: U Partial Job address: 33 /iJ 6 a lien C �, Fldg.no.: I suite no.: .Tart man/tart lot/account no.: I Lot. a - 131cxk Sul, t ,Mel t� r/ f�,zt/470_ C!L Pro eel nr,mt //cU/ u Dc•seriprion and Iccation of work on remises: FSdM8tnd date of corn le.tioNtnspexttnn. Job no: eoe Max Business name:4rEq,,trC ✓ t7rvcri tp ion Qry. (m) Toral no in.,p --- — New residmW-drWle or muld•family per Address:/ p -�J i D dwellltrrunh.lnclutievulraeiretipantge. City. State: 1pI ZIP: 70,&,;- .r+ervJeeuKlude*- Phone: &17-d13dlO 1 Fax:h/Z E-mail: 1000!q n.or leas 4 Hach additional SIX)gq,R.or portion tliereof CCB no.: ,> Glee. us.lie.no: .3 -� G LinaHedenergy,residential _ Z City/metro lie,no.: t7 _ Lftuitedene nou•residential 2 --. T _t-me-e/ Eich manufanuredhome ormodular dwelling Signature of su rvisi P.eltnric n',regtured) pate Service w4or feedar _7 v_ � Sup,elav ,name(p ti f) 1 i�crise no Services orfe ers-• st (oallation,- ---- sltcnt7naorrclncali..n: 200 amps or less ,ja Name(print): i .�a�rr 201 amp in 400 amps T Mailing address: - J 401 amps to 6(111 amps 2 _ -_I' 601 amps t�1000 amps 2 City State: ZIP: ��7!/ ?� Over 1000 amps or volts ('hone: / I E-mail: _P.ernnnor.+nnly 1 Owocr installaiion:'Me installation is being made on property I own 7cmporuyarrviamarfenlers- which is not intended for sale,lease,rent,or exchange accordinp to Instillsdon,elterotion,orrelootion: ORS 447,455,479,6-70,70). 200 amps cr less _ 2 in Il snips to 400 amps _ 2 Owner's Si'Mature. 12'!i te: 401 In 600 ams m LL -� 2 Broach circuin-new,alteration, or extension per panel: Nuc' A. Free for brunch cirruitr with purchase of Address: _ service or feeder fee,each branch circuit ,�+ ��. 1 B. Fee for branch circuits without purchase Phone: 1:,r �'� mall: of service nr feeder fee,first branch circuit: 2 Each additional branch nrct it: _ Mkc.(Service orf■edernetlaeladed): O Service over 125 ampsmrrunrt,aal U H.ihh-.art facility Each pump or Irrigadon circle 2 ❑Service over 320amps•rrlingof 1&2 U Hazardouslocoimt lischsl noroutlinelighting _ 2 rmlulydweUii)gs 0Buildingoverl0,000squarefeetlower Signal circuit(s)oralimited energvpanel, ❑System over 600 volts nominal moral■.cidant)alunits Inone structure alteration,orextensionv - — *Build(rtgoverthreesrodes OFeadets,400amps ormom 'Descd dont — �_-� O Occupant low over 99 persons D Manufactured swetttrcs or RV part Fach■ it)atulpeMion neer the ...ton able in env nl for aiM.vr: t O F-grtsssillghur%platt u Other: Pc,inspcction T— Sabah_sets of plain with any of the above. Inveadgadon fu The above,re not appllable to fempetrary constnsctlon service. other E O Na JI Jutiadicuaes ermW credit cards,please all jurisdiction for gaga leree.rvtaitxc Notice:'This p:omit application Permit fee..................... - O Visa O MasterCud expires if a permit is not obtained Plan review(at — 9i) $ credit and tutmbv: _. _ __ —1_1.__ within 110 days after it has been "tate surcharge(89x)... 5 accepted as complete. COTA.L.............. $ D D —��im`e erex�seo�a�n ere teat 1 /� _.�-----CA7j FmpW rl�iltae s Aaleua0 .,�G�7 �`- � u0J815 tStOo'COMI, P i FPOM P. J.Rouse Electric, Inc. FAX NO. 5036120891 Apr. 18 201.1 02:37PM P2 Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVE!% - _RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee............................................ ........ S75.00 _ Number of Inspections Per permit allowed) (FOR ALL SYSTEMS) Service included: Items Co-A Total `► Chock Type of Work Involved; Residential-per unit 1000 sq.R or less �_ $145,15 _ _ 4 Audio and Stereo Systems Fach additional 500 sq.ft.or portion thereof _ S33 40 _ 1 uurgiar Alarm Limited FnergV 575 00 F;uJi Manjrd Home of Modular Garage Door Opener' Dwelling Service or Fonder SY0`J0 2 I-- servicxs or Feeders heating,ventilation and Air Conditioning System' Installatior,alteration,or relocation Q� 3 D 2,(10,imps or less __._ $b0,30 2 vacuum Systems' 20,1 amps to 400 amps 3106-85 2 401:imps to boo amps $160.60 601 amps In 1000 amps -- $240.60 2 Other Over lnoo amps or volts --- _ $454.65 2 - Reconnect only $66.85 2 - Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY � 5 Fee for each system.............................................. .......... S7 ,00 In.tallauon,aher3tion,or relocation 200 amps or less _ $66.85 2 (SEE OAR 918 260.260) 101 amps to 4UO ampb _ _ $100.30 2 Check Type of Work Involved; 401 amps to 61710.9111P5 $133.75 7 Over 500 amps to 1 Ono volts. sen"b"above. 1.J Audio and Stereo Systems Branch Circuits L___1 ©oller Controls New,alteration or e..ttension per pane' n)Tho fee fnr branch cirwits �� with purchase of service or clock Systems re.,der ren. 7 +7 Fach branrh circuit ` $6.65 , --3• 2 Data Telecommunira6on Installation b)the fee for nranch circuits without purchase of service Q Fire Alarm Installation or feeder Me. First branch circuit _ $46175 HVAC Fach additional branch circuit _ __ $6.65 Miscellaneous Instiumentabon (F;rrvice or feeder not included) Fach pump or irrigation circle _ $5340�^_ - - U Intercom And Paging hysterns Each sign or outline lighting _ $5340 _ ,;ignal circud(s)or a limited energy ❑ panel,alteration or edonsior, $7500 Landscape Irrlgabon Control' Minor labels(10) $125.00 ❑ Medical Each additional inspectlon over the allowable in any of the above Nurse Calls fear Inspection -____ _ $62 5nPerhou - i - _ $82.50` ❑ In Plant $73.75 Outdoor landscape Lighting' Fees: f1 ❑ Protective S gnaling Enter total of above f -, $ ❑ m%St-ite Surcharge S �' �! ----Number of Systems .js%Plan Review Fee ' No licenses are required t icenses are required for all either installaficr< Sea'Plan Review'section on $ - pont of application -_ _ - /1 Fees: Total Balance Due $ /b .O � Enter total of above loos Trust Account 0- __. w/.State Surcharge $_ - 'otal Balance Due s rhdsrs\furms\eIc-fees toe IOr09100