9115 SW 70TH AVENUE f
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Forting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Founoation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bean) Struct, Plbg. Top Out CER. Rough-in FINAL:
Post/Baam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wa I Gyp. Bd. -Elect.
Date Requested.._ ~`- Time: .—AM PM
Address:
Builder:_��1�_ �� ����- �G'/ Permit #:
THE FOLLOI ING CORRECTIONS ARE REQUil r-n:
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Inspector: Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
ELECTRICAL PERMIT'
16
10 CITY OF T I CARD DA TE_I ISSUED. 01/12, /9f=
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL,-. I S 1 CnP 01 100
13125 SW Hall Blvd.Tigard,ongon 87223.8188 (503)6304171
1TE 1'4)DR11 . . . =r SW 70TH AVE.
IADi'JISI[]N. . . . : :iHADY DELL 7..QtVIhIG: R-4. 5
i..Clf;l.. . . . . . . . . . . LOI.. . . . . . . . . . . . . . 11
trojert description: Install one service or feeder.
_---___-----_.--__...__.__._._.__.__._.__.______-
- -- RFSIUENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS_-------.
11 00 :,F OR LESS. . . . : 0 0 - 2,110 amu. . . . . . . : 0 P'UMr-VIRRIGATION. . . . 0
EACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/CIU-[ LINE. LTG. . 0
LIMITED ENERGY. . . . . : 0 401 - 61210 amn. . . . . . . : 0 SIGNA1_./PONEL. . . . . . . . 0
MANI=. HM/ SVC/FDP,. . : 0 601+amps-1021171 volts. : 0 MINOR LABEL f 1VI> . , : 0
ICE/FEE:DEF"_.__._ __-... ..-nRAI`IC"H LT,RCIJII'S __.___. _._.--AI)D' I... IN PF..CTT:7NS---
0 : 00 amo. . . . . . : 1 W/SERVICE OR FEEDER: 0
PER I NSpECT I QN. . . . .
01. _ 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . 00
401 - 600 aMP. . . . . . : 0 EA ADD' L RRNC!1 CIRC: 0 IN PLANT. . . . . . . . . . .
f 01 - 1000 e.m n. . . . . : 4h ..-..-_.._.._.__..___.._._._ _ -.--.-P'LriN RE I EW SECT TON-
1000+
rJ'N-. . . . . . . . . ...
6,
1001 + amp/volt. . . . . : 0 ) =4 4F'S UNITS. . . . . . . . : ) 600 VOLT NOMINAL— :
Reconnect anly. . . . . : v7 SVC/FDP 2-'S AMPS. . : CI.-ASS AREA/SPEC`O( C.
--- - -- FEES ---_-_ -_
FRANCES N,EENEY t v.peamol.tnt by date rel.:l5t
'1 1 b SW 707H AVE P'RMT 0. 00 cis 01/11/96 STORM
;PCT 0. 0 CIS 1i?t/ 11/96 STORIA
-ICARD OR S72r2:3
hone #:
,AC;F 1.._ ELECTRIC t 0. 00 TOTAL
1927 21ST AVC
_.___...- RF...gU I RED I NrF'E=CT t ONS -
GPOYE OR 97116 E'1er.t' 1 Service
i-'hone #: Clect' 1 Final 1
Reu
'his permit is isroed subiect to tho regulations contained in the
hoard Municioal Code, 5tdte of Ore. Specialty Codes and all other �'erm i tt re .r nnat�_1rr
policable law,. All work will be done in accordance with
ane-nved plans This permit will eKoire if work is not started _
within 160 davc of issuance, or if work is suspended for more _ ,a,lar seA�r�t than 160 davc, I s=o.Ied Pv
_ _._..___..... ...._ OWNED. INSTALLATION ONLY..
The ir:5tall�htion is hei•nn made on prooertY I own wh ich isnot intended or
194"Ase, nr vent . DA1C`r
nWNERI S SIGNATURE:
T RACTOR 1 N STALLAT I 011
316NATURE OF SUGR. ELLC' N: mc,/ a/ DATE:. :
J
NO
Call for inspection
1
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JAN�11r+'96x17:14 PAGEL-+ELECTRIC-� CIM OF 1I'GARD P.l pu:• UUz
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Community Dev6lopment EL2Q*kICAL PERW APPLICATION
13125 $W WaII,Blvd.
Tigard, OR 9223 Permit # no rs
+one (503) 63$1-4171Date Issued
CITY 4K T14ARD (503) 68417297
TDD No. (603) 864-2772
Inspection (503)639-4176 tda*5"
I. : Job Address: 4. Compete Fee Schedule Below:
Name ofDevelopment_ Number of Inspeadom per permit aHawed
Address 6L I (!S, 0 '� A j Service inolUOed Hams cost(es) Sum
QilylState/ZipIQA,RDQ c�33 __ 4s, Restdslntlal •per unit
1000 art ft'arisen _ 1111110.00 4
Name (OrIneme of business)_ _ Each od,441vr�1600 s0..ft.or _
poraltrt Inart�t 12540
Commercial ❑ Residential �' lMnll•d 9mWoy 121.00 �
Each Mafwrd Nome or Modular 2
,Dwarfing Sarviee or treader $6800
20 Contractor Installation only: iCo
4b,Servlceb or Feeders
Electrical Contractor"LLOri,tzuCTT�ic C o . Installation,antrallor,of relocaubn
Address Q 7 SrAJ '.y ,200 strips or,less 1_ 11111111 0.o GtD.OU 2
�_ 1 lot amps to coo army 110.00 2
City_f _,E_5'r•C�Re __ Stste�"� 2113 s7/fes Oat mpa to eoo srp% _� slto,a0 a
Phone N% 35 - of en,amps Iamps f.mita 4310,00 2
Own tD00 imps lar veas 1340,00 2
Jrh'NO, I CI Pnaonnect oitb 160.00 2
contractor's license NO,_ 40.Temporary Services or Fesdara
Contrectol"s Hoard Reg, No, — ,e,tsuutbn,ani rattan or reloaattan
Signature of Supr. Elec'n eoo amps a Ina
License No. Q2A S_—i_ Phone No. - O i 201 an p•f:;00 amp$ Iso.00 ""—" a
401 arta to wo amp! 176.00 2
Over eoo arrbs+a 1000 von$ 1100.00
2b. For owner installations:
Print Owner's Name /1 4d. Drench Circuits
i— ------ New,sherstion or emenaron por pens
Addressa)The roe for bench etreuny WIM
(;ity.______.�. State jp_� PwlehasL of service or readierreadiertoo. 2
Phone No,— _ Inch branch chwh � Koo
b)TM lee tet blanch aacuhl wfthvw
The installation Is being made on property I own which is pweA•••d$anioeerhearrae. 2
net Intended for sale, lease or rent. first bran chcul 1 sa9,oc a
Oach$a=lit branch CMptM 10,00
OWA00 Sighature__ 4e. Miscellonsous
(Service orfesdet not'ineluded)
3. Plan Review section (it required): amh pump of Irrigation arcis $40.00 a
finch sign or auftlns nOMlno 140.00
91gn•I tVtU%(s)er a lknnld•n•rt y
Please oheak appropriate Item and enter fee M lection on, pond,snerstl1Dn lar all" om 84000
4 or more residential unh In one %trueture 110w Lebeh(10) Sim 0o
Service and b;sdsr 225 amps or more
`. System over SM volts nominal 41.Each additional Inspection ever
a
Cls"- Med area or structure containing srEaisi Occupancy the allowable In any of tilt above
✓r as described in N.E C, Chapter y Per In•peolan g9,00
} ver hour 85.00
Submit 2 sets of lens with + In Plant f1{.00
p sCpNcotion whore slay of the above
-+ apply. Not required for ternporrry construction ai1{riees, '
S. Feed:
LTJ so. Mter tolbl of above fres
5%Surcharge ('01 X total fees)
1' PERMITS BECOME VOID IF WOPK UR CONSTRUCTION subtotal Zr V:OO
AUTWORIZEh IS NOT COMMENCED WITHIN 180 DAYS, OR IF se linter 2516 of liniA for
required�d (Seo 3)
CONSTRUCTION OR WJRK 19 S ISPENDED OR AbAm)oNEglen RtlVlaw if►
D FOR Plan Re
A PER00 OF IOU DAYS AT ANY TIME AFTER WORK IS subi
('.0" l!NGED. •r6.�a••o.r• ❑ Nat Account A
-
Balance Dbe S'TbAM
I --