7350 SW DURHAM ROAD ADDRESS:
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CITY OF 71GARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceilinq -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meth.
PIbg.Und/Flr/Slab Plbg. Top Out Insulation lett
Post/Beam Struct, Mech. Rough-in Gyp, Bd. Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins..c
Other: --1 �- .� _ _' _- /
Date �j/ A.M. P.M...___ Entry:
Address: --
Tenari;:_ - - -- -- Ste -- - MST:
Con/Own B'JP:
—�M 0/l�/ � n - - M EC: _F
.,j r;2 T�P�I PLM:
ELC:
THE FOLLOWING CORR .CTIONS ARE REQUIRED: ELR:
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Inspector:j IG _ Date:
APPROVED e DISAPPROVED/CALL FOR REINSP. CF CO
ELEr7TPIC nL. PERMIT
C11Y OF Ti�,A,RU DATE:IISSUED:CO2/29/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)539-4171 PARCEL-. 2S 1 1 3AB-01 000
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SUBDIVIS7ION. . . . : ZONING: I—F'
BLOC V. . . . . . . . . . . L01.. . . . . . . . . . . . . .
Project Description: InstAlling one service feeder to 200 amps and one branch
circuit
—.---RESIDCNTIAL UNTI ---- -.. -..TEMP SRVC/FE'ErDERS_._.__ _.____—MISCEL_LANCOUS
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/I rP I GAT I GN. . . . : �?
EACH w.,1' 1_ 5006F. . - : 1A 1:01 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIM11=:D "NFRG�.. . . . . : 0 401 - 600 amp. . . . . . . a 0 SIGNAL/PANEL. . . . . . . : 0
MANF. SVC/FDR. . : 0 601 +amps -112100 volts. : 0 MINOR LAPEL ( 10) . . . : 0
CIRCUITS--.--- __.._.._ADD' L. INSPECTIONS--
0 200 amp. . . . . . : 1. W/SERVICE OR FEE:DC' R: 1 PER INSPECTION. . . . . : 0
E01 — 400 amp. . . . . . : 0 1st W/0 SRVC OR FUR. 1 0 DER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN r I_AN C. . . . . . . . . . . : IZ,
601 — 1000 amp. . . . . : 0 ---- -- -- --_--- --F'L.AN REVIEW
10041+ .Amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . .. : 0 SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner . __._____._._._-___.___.w.____.____._ ______.__.________ ._._____._..__.__ -
COLUMBIA CABLE type Amount by date recpt
PRMT 1 (,5. 00 DON 02/20/96 96--276473
SPCT t 3. 25 BON Iii`/29/96 96—E76473
Cont Tact or;:
ANDEROONS INTEGRITY EI_C':CTR I C f 68. 25 TOTP!._
13016 SW LAURMONT DR
REQUIRED INSPECTIONS
TIGARn OR 97223 -'eiling Cover Elect, 1 Se1-victf
Phone 0: rJall Cover EIect' 1 Final
Rey 4. .
This peroit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ord. Specialty Codes anJ all other
applicable laws. All work will be done in accordance with
approved plans This permit will expire if work is nut started
within 100 days of issuance, or if work is suspended for more L__d
than 180 days. 15
sued By
__. _._._..._.._ -----__.._._.___.._...._.__... ..._.... .. OWNER I NSTAL.L_AT I ON ONLY _.__.---_._._.___._..._..............____..._.._—.__,.
The installation is being made on property I own which is not intended for
':aIe, 1 e a s o I or rent.
OWNER' S SIGNATURE: _ _ _ _ DATE
N T01' !` TAI_..C_.AT ION ONLY—___._______._-___--.---___._ ..... __._..__..
S I GNATUR (JF SUF'R. E1_111 N: _._..._.._ �_. � ,. DATE:
!_ �' 7N:X NO:
Call for inspec.ti.C,T) 639 -4175
Community Development ELECTR;CAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # El C 10
Phone (503) 639-4171 Date Issued Z
FAX (503) 684-7297 issued by KAI VAV i--
CITY OF TIGARD TDD No (503) 684-2772
Inspection (503) 639-4175
C-c_0,�'"' s�� 4. Complete Fee Schedule Below:
1. Job Address: L•,I I�,i}�, - )�., , P
Name of Development ' C::`A-) �'�hU't'L "� Number of Inspections per permit allowed --
Address 14` - i4"rL4pct I-�I�{Vt+ia ✓d d Z� Service included Items Cost(et,) Surn _
City/State/ZiI C,/1, L 4s. Residential- per unit 4
p !L t NO Rq n or IRaa $110 00
S,erviu or.) 1 UE iUle ----
F.ndh rxfdArnrel 500 eQ 11 or
Name (or name of business) .�_�53 _- portion thereof _ 42!,oo
Limited Enargy — $25 n0
Commercial Residential Each Manul'd Home or Modular
Dwelling Service or Felder we 00
2a. Contractor installation only: 4b.Services or Feedora
Inalallation,alteration,or re;ocalion �-
Electrical Contlactori 200 amps orleRa I $8000
Zip-22-0
�— 201 amps to 400 amps $8000 — 2
Address �1 "L!� 401 amps to f100 amps � $12000 _
City a States _ Zlp`ri O -- u01 amps to .000 amps $12000 �-— 2
Phone No.��Ly-�1 b ^� Over 1non amps or voila _— $34000
Contractor's License No. -363 <_ Reconnect only $5000 —
Contractor's Board Reg. No.9j tL4 1 0 14c. TemporsryServices or Feeders
InetAltalron,a2erahon,or relocatt.n
Signature of Supr. Elec' -- l LJt s^— 200 amps or less _ — $50 OO 2
201 amps to 400 amps
License No.S�C) Phone No. �-�t o
401 amps l0 8800 em Pe $loo1tA n 00
Over 800 amps to low voile
2b. For owner installations: no*W abO1e
4d. Branch Circuits
Print Owner's Name ,M ._ New,alteration or extension per panel
Address A)The fee for branch circuits with
City. __ State Zlp_�� purchase,of serWcs or bodes Me. er>
Fnch branch circuit $5 0o
Fhone No. _ b)The foe for branch circuits without
The installation is being made on property I own which is purchsss of swrks or Aesdsr Ars. '
First branch ryrcuit $3500 2
not intended for sale, lease or relit. Each aMilional branch corrud $500 _
Owner's Signature _—_ 4o.Miscellaneous
(Service or feeder not included) i
3. Plan Review section (if required): Fach pump or irrigation circle $4000
Fath sign or outline lighting $40 GO
Signal cimuit(e)or n limited energy
Please check appropriate Item and enter foo in section 5B. panel alteration or exlension $4o no _
_ 4 or more residential units in one structure Mich I Ahola(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
_Classifleri area or structure containing speciri'occupancy the allowable in any of the above
as dt tied in N.F C. Chapter 5 Par inspection $3f 00 _
PRI hour $5J nn
In Plant $55 no
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction servicon. 5. Fees:
ev
NOTICE 5o. Enter total of Above tees $
51,16 Surcharge t 05 X total fees) $ _�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required(Sec 3)
A PERIOD OF 180 DAYS AT ANY TIME AcTER WORK IS Subtotal $
COMMENCED ❑ Trust Acciunt M $
Balance flue $
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