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7770 SW GENTLE WOODS DRIVE I f O I rn I { G� r ro p r'r r, tr r C O U cn A i d H C ro } I s SAI80 SClOOt9S imso CAS OLL L CITY OF TIGARD BUILDING INSPECTION DIVISION 24-24-Hour Inspection Lire: 639-4175 Business Line: 539-4171MST ----------- 5 LC.: g -- I� _'fie BUP Date�Riequested AM__— �M BLD Location 7 c,% �" ` l uite _ — MEC — Contact Person --tLG�'1�� ph v� ``-�`r _q � PLM --- -- — Contractor Ph SyyrIL BUILDING Tenart/Owners �*� �/7C(l� r� ELC `I Retaining Wall ELR Footing Access: - Foundation ��D V a� y e� FPS -` Fig Drain —' Crawl Drain Inspection Notes: SGN _ Slab - -- ---- - ----- ------ SIT Post&Beam — ----- Ext Sheath!Shear Int Sheath/Shear `- Framing Insulation — Unnnrall NailingL-c / Firewall Fire Sprinkler Fire Alarm - — --�— - — — Susp'd Ceiling Ronf Misc: Final ----- PASS PART FAIT_ --- _- - ----_ PLUMBING Post& Beam ---- -—-- — ---—-- - --- _ —_�_i— __ Under Slab Top Out -- — -- - Water Service Sanitary Sewer — — - - -�— Rain Drains Final -- PASS PART FAIL _ MECHANICAL — Post&Beam ^^ __ Rough In Gas Line ---- ___ Smoke Dampers Final P --PAR.T� FAIL _LEC-1WCAL Roug L' /Slab Low Voltage ----- —� Fire Alarm Mk PANT FAIL. _ tom --- ---— — --, __.— SITE Backfill/Grading - ---- --- - - ---- ---- Sanitanf Sewer Stom,Drr.;,I ( ]Reinspection fee of$_!r _required before next inspection. Pay at City Hall, 12125 SW Hall Blvd Catch Supply Please call for reinspection RE: Fire Sup?ly Line ( 1 p ( ]Unable to inspect-no access ADA ) Approach/Sidewalk Other Date A7 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. a CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #-. EL.C98-0296 15,125 SW Hall Blvd,, Tigard,OR 91223 (503)639-4171 DATE ISSUED: 06/k,/98 PARCEL: 2SI12CA-L-E800 I I L. (ADDRES:3. . . .07770 SW GENTLE WOODS DR SIJBDIVISION. . . . .-GENTLE WOODS ZONIN(*;:R-4. 5 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..020 JURIS)ICTION: TIG Project Descriptions Alteration to single family dwelling, ------------------------------------------------------------------------------------------ -----RESIDENTIAL UNIT—— ---TEMP SRVC/FEEDERS---,- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 iEACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG_ V, LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . . f? MANF. HM/ SVC/FDR. . - 0 6014-aMpS-1000 Volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRCLJITS------- ----ADDIL INSPECTIONS--- 0 NSPECTIONS—0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 Ist 1410 SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ALIDIL bRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 REVIEW SECTION-------------- 1.000* amp/volt. . . . . : 0 ) =4 RFS UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVL/FDR ) = 225 AMPS. . i CLASS AREA/SPEC OCC. i Owners --------------------------------------------------------- FEES _-_-------_-..--_.. GREGORY A HAINES type amount by date recpt 7770 SW GENTLE WOODS DR PRMT $ 35. 00 DLH 06/01/98 98-306176 TIGARD OR 97224 5PCT $ 1. 75 DLH 06/01/98 98-30617F, Phcne #: 598-9259 Contractor: - ------------------------------ ---------- t 36. 75 TOTAL ------- REQUIRED INSPECTIONS Rough-in Elect' l Final Phone #: Elect' l Service Reg #r. . : This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within In days of issuance, or if work is suspended for more than 180 days. ATM-(TION: Oregon law requires you k10 follow the rules adopted by th# Oregon Utility Notification Center. Those rules are set forth in MR 952-M*10 through OAR 952-01-1987, You say obtain a copy of these rules or direct questions to MW ,,,by calling (593)246-1987. N Permittee Si gnat ure: N_�Z�__ 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: !�K_aZLA�147_ DATE INSTALLATION ONLY--- ---------- SIGNATURE OF SUPR. ELECIN: !`7��-- DATE: LICENSE NO: .................................... ..................I.........L:............ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++4.............................................................................. CITY OF TIGARD Electrical Permit Application Pian Check# 13125 SW HALL BLVD. F ec'd By_ Daui Recd TIGARD OR 97223 Dere to I'.E. Pho- 3 (503)639-4171, x304 `I Date to D 3 Inspection (503)639-4175 Print or Type ' Permit# G 4,(2 '-da9 • Fax (503)684 7297 Incomplete or illegible will not be accented Called__ 1. .lob Address: 4. Complete Fee Schedule Below: Name of Development /A^ 1 I Plumber of Inspections per permit allowed Name(or name of business) � ,1't 1e�1._ Service included: Items Cost Sum IJ Address -71��s U' ) . sf'M �- -" .�L..'S rpt 4a. sq.it.ur less per unit -- -` 1 1000 sq.it.ur less $110.00 r City/State/Zip- �� _ Each additional 500 sq.ft.or - Commercial❑ Residential portion thereof $25.00 1 Limited Energy $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder _ ._ $66.00 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders EIACtrIC81 Contractor - Installation,alteration,or relocation 200 amps or less $60.00 2 Address - 201 amps to 400 amps $80.00 2 City State Zip--- 401 amps to 600 amps $120.00 2 Phone No. 601 amps to 1000 amps $18000 2 Over 1000 amps or volts $340.00 ____ 2 Job No. Reconnect only $50.00 2 Elec.Cont, Lice. No. Exp.Da's.•__ OR State CCB Reg. No. Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No._ Exp.Date _ Installation,alteration,or relocation 200 amps or less $50.00 � Signature of Su r. Elec'n 201 amps to 400 amps $75.00 _ g P - - 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License Nr -Exp.Date_ ass"b"above. Phone N _- -- - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name ( t • feeder fee. Addre l Q. Each branch circuit $5.00 b)The fee for branch circuits City 1 C tState Zia L2 without purchase of Phone N C Zr _. _ service or feeder fee. $. p First branch circuit $35.00 The installation is being made on property I own which is not Each additional branch circuit_ $5.10 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature \ 1T�1 t� fl�` Each pump or irrigation circle $10.00 Each sign or outline lighting $40.00 2 3. Plan Review section if re aired 1:'r Signal circult(s)or a limited energy q ! panel,alteration or extension $4b.00 Minor Labels 00) _ $100.00 Please check appropriate item and enter fee in section 5B. 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 _ $55.00 Submit 2 sets of plans with application where any of the above apply. 5. Fees: f Not required for temporary construction services. 5a.Enter total of above fees $ 3C' 5%Surcharge(•05 X total tees) $ NOTICL Subtotal $ i1 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF 1 JORK OR CONSTRUCTION AUTHORIZED IS Plan Review if re uir (Sec.3) $ NOT COMMENCED WITHIN r 30 DAYS,OR IF CONSTRUCTION OR WORK, I Subtotal $ -� IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTFR WORK IF UOMfNcNCED. Trust Account# _ y Total balance Due I I\t)STSIELCO6 APP Rev WN