6901 SW OAK STREET I'
ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Lino: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling
-Plumb.
Post/Beam Mech. Shear/Sheath Framing
ech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation Elect.
;•. 1,
Post/Beam Struct. Mech. Rough in Gyp. Bd. Bldg,
San. Sewer Gas Line Appr/Sdwlk i fi
Other:
—
Date: A.M. Entry:
Address:
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Tenant: —� _— Sre: MST:
BUP:
0,9/Own: ��? `F — �- �U �__ MEC:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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1 ----- --- � -- � -- IIS
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Inspe/ctor: -- —
Date:
—APPROVED _DISAPPROVED/CALL FOR REINSP• CF CO
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CITY OF TIGARD �
DEVELOPMENT SERVICES ELECTRICAL PERMIT '
PERMIT #: ELC97-0012
13125 SIN Nall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01/10/97
PARCEL: IS136AA-01700
SITE ADDRESS. . . : 06901 SW OAK ST
SUBDIVISION. . . . : FUR VALLEY ZONING:R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4
Project Description: INSTL 1. BRANCH CIRCUIT/FEEDER
----------------------------------------------------------
-- RESIDENTIAL UNIT-•---- ---TEMP ERVC/FEEDERS----.- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 i='1..111P/I RR I GAT I ON. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . . 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC,'F'DR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0
._.-.----.Sh.RV ICE/FEEDER------ - - - - BRAnIC H CIRCUITS--.-___ .--.--ADD' L- INSPECTIONS—-
0
NSPECTIONS--.-
0 --• 200 amp. . . . . . : 0 W/SERVICE OP FEEDER: 0 PER INSPECTION. . . . . : 0
x'01. -- 400 amp. . . . . . : 0 1st W/0 SRVC ClR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - FOO amp. . . . . : 0 EA ADI)% !- BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1 000 amp. . . . . : 0 _-.___-____.________.-F'I_AN REVIEW SECT I ON- - --- - -----_____
1000+ amp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner-: --------------------------------------------------------- FEES ---_-_-.______-_-
KRISTEN FACES type amor.rnt by date recpt
69O1 SW OAK ST P'RMT $ 35. 00 TAT 01/10/97 97-28873E
SPC $ 1. 75 TAT 01/10/97 97-288736
TIGARD OR '-x722-11
Phone #r,
Cont► act n.-
WESTS T.Dr_' F L_EC ERIC $ 36. 75 TnTAL_
7516 SW MACADAM AVE
REQUIRED INSPECTIONS
-------
PORTLAND OR 97219 Ceiling Covet- Undergi-ound Cove
Phone #: 503-245-3385 Wall Cover Elect' ] Final
Reg #. . : 13306
This permit is issued subject to the regulations contained in the
Tigard F1t.micipal Code, State of Ore. Specialty Codes and all other Permitter . Signature
applicable laws. llll work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more 100I '
than IN days. T.s ed By. —'
INS'T'ALI._A`fTOIV ONL..Y'._.__.__._._
The installation is being made on property I own which is not intended for
sale, lease, or, rent.
OWNER' S SIGNATURE: DATE:
+ _.__..____-CONTRACTOR INSTALLATION
j SIGNATURE OF SUPR. ELEC' N: - DATE: _
LICENSE NO.
Call for inspection - 639-4175
ANN
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Communitty Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. 2
Tigard, OR 97223 Permit # --
Date Issued
C
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF NGARD TDD No. (503) 684-2772 I
Inspection (503) 639-4175
— 4. Complete Fee Schedule Below:
1. Job Address: -
Number ol inspections per permit allowed
Name of Development
_,��G•;� ' C �-- Service included: Items Cost(ea) Sum
Address J/
r
City/State/Zip _ 4/C t _� 4a. Residential -per unit $11000 4
1000 s ft or less `
/ Each adt.ilional 500 sq.ft.cr $2500
Nams (or name of business) ��� C a portion thereof $2500
Limited Energy
Commercial EA Residential Each Manuf'd Home or Modular $68.00 2
Dwelling Service or Feeder
2a. Contractor installation only: 4b.Services or Feeders
I Installation,alteration,or relocation S6000 2
C
Electrical Contractor C 200 amps or less $8000 2
Q(UC
Address 201 amps to 400 amps $120.00 —_ 2
-- �/�n "{
401 amps to 800 amps 2
SI"O GO
City 4fr State - Zip 601 amps to 1000 amps $34000 `
Phone No. / Over 1000 amps or volts $5000 —_ 2
Reconnect only `
Job NO.
contractor's license NO. Z 4c.Temporary S^.rvices or Feeders
Contractor's Board Reg. No. Inslallatloo,alt^ration,or relocation 2
200 amps or less $50.00 2 `
Signature of Supr. Elec'n_ 201 amps to 400 amps __ �___�_ 2
Phone No. 401 amps to 800 amps $75 0 _
License No.^L.�. -�-- — $,or 00
Over 600 amps to 1000 Volta
2b. For owner installations: see"b"above.
4d. Branch Circuits
Print Owner's Name __-_ — New,alteration or extension per pane
a)The fen for branch circults with 2
j Address _y— Each branch circuit $5.00_ — — purchase orservko or feeder fee^—
9t) Cit State Zip__ b)The fee for branch circuits without
Phone No. - 2
purchsas or service or feeder ade on property I own which is First branch circuit $35 00 _�>� 2
The installation is being m
not intended for sale, lease or rent. Each additional branch circuit $5.00
4o. Miscellaneous
Owner's Signature_ __ —
(Service o! feeder not include) ,
Each pump or Irrigation circle $40.00
3.1 Plan Review section (if required): Each sign m outline fighting $4000 2
Signal circuit(e)or a limited energy
$40.00
Please check appropriate Item and enter fee in section 58. Mnonlabe Fratio or exldnslon $tat oo
_ 4 w more residential units in one structure
�—Service and feeder 225 amps or more I 0.Each additional Inspection over
} System over 600 volts nominal the allowable In any of the above
Classified area or structure containing special occupancy per Inspection $3500
as described In N E.C. Chapter 5 Per hour $5500
In Plant $55.00
I Submit 2 sets of plans with application where any of the above
i apply. Not required for temporary construction services. Fees: 2 ''
f 5a. Enter total of above fees $
! NOTICE 5%Surcharge 105 X total fees) $ �.
Subtotal $ - 7
PERMITS BECOME VOID IF WORK OR CONSTRUCTION gb. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review Jf required (Sec.3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Sublofa► $ --—3s
A PERIOD OF 180 DAYS AT ANY TIME AFT' WORK ISTrust Account 0
COMMENCED. "a Q on1AeW' $ _L
Balance Due S
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