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11621 SW KING GEORGE DRIVE N N (i W O Q I. m v ,t 1 L• ' c I I i 4 S F (t 4 IY 11621 SW King G-orge Drive I CITY OF TIGARD BUILDWG INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4175 Business line: 639-4171 BJP _ Requested -l _ _AM -- PM - -_- BLIP Location_ �! Z ( ti �, U� - Site ----_-_-_-__ MEC Contact Person Ph PL.M Conn a,tor --_.- --_ Ph - - - - SWR B(JILDING•, --�- Tenant/Owner __— — ELC itetaining Wail -- -----___-- ELR Footing Access Foundation FPS Ftg Drain Crawl Grain Inspection Notes: -`- SGN Slab SIT Post b Beam Ext Sheath/Shear Int Sheath/Shear — Framing Insulation )rywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- -- — ---- -- - -- -- --- ---- Roof Misr,: ---- ---.--_ I __— — -- ---------- —_� Final PASS _ PART FAIL -- -- -- _-- PLUM,113 . too Pcst 3 Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains r7i nal -- - —_ --—---------- PASS PAR r FAIL MECHANICAL -- Post& Beam -- Rough In Gas Line . . -- -------- Smoke Darnpers _ - — Final - -- ----- PASS PART FAIL -- ELECTRICAL - -___-------__--- Servicr: Rough In -- -- UG/Slab Low Voltage ----- F ire Alarm final _ _— PASS PART FAIL SITE ---- _ . _.-------------- --_. _ Backfill/Grading -- - ----- - Sanitary Sewer Storm Drain t ]Reinspection fee of$ required be!ore next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RE ——_ _ ] Unable tc inspect no access ADA ., Approach/Sidewalk - j Date jj Inspector J- Other _ _— _-_LP Ext Final PASS PART FAIL DO NOV REN OVE this inspection recoru from the job si".e. S ^ CITY '�� I�� i_ELE'CTRICAL PERMIT \\ PERMIT M ELC2001-00403 DEVELOPMENT SERVICES DATE ISSUED: 08/06/2001 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110CA-00200 SITE AuDRESS: 11621 SW KING GEORGE DR LAUNDRY SUBDIVISION: KING CITY ZONING: ? BLOCK: LOT 7 JURISDICTION: KIN Proiect Description: Remove hot water heater from dedic-,'ed meter and reconnect to building meter. RESIDENTIAL UNIT _ TEMP SRVC/FELJERS MISCELLANEOUS �-- — 1000 SF OR LESS: —0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF• 201 - 400 amp: SIGN/OUT LINE LTG: LI,!A:TED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF FIM/:QVC/FDR: 601�-amps - 1000 volts: MINOR LABEL (10): SE_RViCE/FEEDER __ BRANCH CIRCUI'T'S_^i__ AD_D'I. INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 arnp: EA ADG'L B'2NCH CIRC: IN PLANT: 601 - 1000 amp: _ _PLAN REVIEW SECTiO_N__ 1000+ arra/volt: >=4 RES UNITS: — > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC O(_C;�___� Owner: Contractor: WESTON HOLDINGS GEORGE. + SONS ELECTRIC CORP 2154 NE BROADWAY PO BOX 339 PORTLAND, OR 97212 CLACKAMAS, OR 97015 Phone: 503-284-2147 Phone: 654-8634 Reg #: LIC 35600 ELE 3-1 ,7C SUP 3185S — FEES Required Inspections Type By Date Amount Receipt Rough in PRMT� CTR OP/O6/2001 $46.85 2720010,000( Wall Cover Elect'I Final 5PCT CTP. 08/06/ 1301 $3.75 2.720010000( Total $50.60 This Permit is issued suoject to the regulations contained in the Tigard Muiidpal Code, Stare of OR Specialty Codes and°II other applicetle laws. All work will be done in accordance with approved plans fh s permit will expire if work is not started within 180 days of issuance,or if work is suspended for mor-thae 180 days ATTENTrON Oregon law i1equires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to CLINIC at(503) 246-6699 ar 1-800-332-2344 Permit Signature: �� yl -t _ — Issued By: - i 14'c OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _—_ _ ____ DATE: CONTRACTOR INSTALLATION ONLY IGNATUURE OF SUPR. ELEC'N: -- LICENSE NO: _ _3 Lr _ ------- -- ----- Cal! 639-4175 by 7:00pm for ars 41spection the next business day Electrical Perinit Application �r — _ Date received: -'��. Permit no.: 1 City of Tigard Project/appl.no.: _ Expimdate: _ CtrvrrjTrgard Address: 13'25 SW Hall Blvd,Tigard,OR 97223 Date issued: By: pt no.: — Phone. (503) 639-4171 Case Fax: (503) 598.1960 file no.; Paymenttype: Land use approval: . l U I & 2 family dwelling or accessor; U Commercial/intiustnal Multi-family U Tenant improvement ;J New construclion 21 Addition/alteratlon/rcplacemen( U Outer: LI Partial 1 1 1 Job address: Al" e- fildg.no.: Suite no.: Tax map/tax lot/account rio.: _L,,t: _ Block: Subdivision: ANG Ci k'roject name: Description and locati of work—onn Pre-mi—ses: 4ek,, 7---�--�� a l:stimatcd date of completion/inspection: P - 1 1 1 11 /�3�S_ Fee Max Job no: Description Qty. (ea.) Teui no.Int Business came:`a a e>t- _ S , r• �- -g - -- New rcsidoi(W-single or multi-family per Address: p Jg� S ` dwellingunil.includes attached garage. State:Q LIP: c�'rr�/� '+cnicehicluded: A City:�'C Tk 1000 sq.ft.or less Phone:f� Q6 Fax:6T3�$ E-mail: Each additional 500 sqft,or portion thereof _- - CCB no.: 25S600 Elec.bus.lic.no: //?-G Limited energy,residential 2 _ City/nICY6 tic.no. G Limited energy,non-residential _ 2 Each manufactured horn_or modulaz dwelling - Dete Service and/or feeder _ 2 _ Signature of str�ervns;ng electrician(re uiy red; K -. girvicaorfeeden-Inti-llatlon, Sup.elect.name(print) �'/<'�q; X 5 Ltcensr.nu: S alteration or relocation: 1 1 200 amps or less _^ 2 201 amps to 400 amps 2 Name(print): N o 401 amps to 600 amps — _ —2�- Y 2 Mailing address: 601 amps to I(Mamps CIIV: State:O ZIP: Over 1000 nmps or vults _ — 2 - R"unnect only _ Phone' / Fax: E-mail: Temporary services or feeders- — Owner installation:The installation is being made on property I owt, Insalbatlau,ndterstiou,orrelocation: Which is not intended for sale,lease,rent,or exchange according to 3W amps or lege _ 2 ORS 447,455,479,670,701. 20I amps to 400 amps -_ _ 2 Dale: 401 w 600 amps 2 Owner's signature: _ _ Branch circuits-neve,allerallon, or exlenslon per panel: Name: A. Fee for branch circuits with purchase of -� mrvice or feeder fee,each branch circuit 2 Address: - ------ Stake ZIP: B. Fee forbrenchcircuits without purchase / r6 City: — - �-�_— of service or feeder fee,first branch circuit t7 -_ ? Phone: I'ax7 E-mail: Eiach—additional hrenchcircuit: Mtsc.(iklceprfeedernutIncluded): Each pump of irrigation circle •Servic•met 225 amps-eommerclal U Health-care facility Each sign or outline lighting _ _ 2 U SerOve over 320 amps-rating of 1&2 U Hazardous location Si nal circuil(s)or a limited energy panel. 2 familyd%tellings UBuildingover10,OWsquareteetfouror B •System over600 volts nominal more tesidential units in one structure alteration,or extension l7 Building over three stories U Feeders,400 amps or more *Description: - _� ----• O occupant load over 99 persons U Manuractrred structures or RV park Each additional inspection over the allowable in any of the above: (]Egrcse/lightingplat U Other: -,v_. _..� Pe,ins Submit—sets of plans vvllh any of the above. Investigation fee — Ilie above are not applicable to temporary construction service. Other _ -- Permit fee.................. s pennit cation No 0 Vali jurisdictions Mae etCad t rands,please tali jurisdiction for nxxe nf�xma on xpircs f er pe:mit is not tobtained Plan review(at _ %) $ -�-----• i __1_ within 180 days after it has beat State.surcharge(8%) ....$ _- 7 s Ctedle card oumlcr--._ -- Expires accepted as complete. S`D t O TOTAL ......................S -- erne of cardholdu clown on GIN cad S Cardhuld r dpteeure ------ _ An ount 4404615(6WCOM) ' F7/30/2001 15:12 5035394771 CITY OF KING CITY PAGE 01 a KING, CI�',Y i53o0 S.W. 116th A••enue,IJng C0*,Oregon 97''—) _"693 Phone:(502)639-4082•FAX(,;0J)n?d•.1 i71 Notice To Contractors Working In king City Dut. to an intergovernmental ioreement �,ith the City of Tigard. many building related permits for projects in King Cite are issued and inspL!cted h� the City of Tigard. If your permit a, •inn DOES NOT REQUIRF. PLAN REVIEW, simply complete the appropriate apF -gibly and submit it to the King City staff. The King City staff will collecT all fees & d ` .:: she application to the City of Tigard. City of Tigard staff%vill then create the permit, issue the permit. and perform inspections, Please indicate on the permit application «hether you would like the Tigard staff to call you when the permit is ready for issuance or %�bether you prefer it to be mai:ed %%ithout any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a cor-olete, legible application is received. If your permit application DOES REQUJRE PLAN REVIEW, this form must be signed by i King City staff person. king City sniff will simpi,, sign this form indicating land use, approval. Tpk: this signed form to the City of Tigard Development Services Counter located at 1315 SW Hall Blvd. Tigard. to submit applications and plans. Development Services Technicians are available at 639-4171 Ext. 304 should you have anN questiuns concerning submittal ri:quirements. All permit fees will be assessed and collected at the Cite of Tigard. The City of king City hereby authorizes applicant to pursue ptrm�ts at the Cit- of Tigard Building Department for the following project: AA 00-&, located at•__Jl�,�r King City Representa[k i Ofttv;chst uur