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8555 SW PINEBROOK STREET ADDRESS: iArecords\ iicrnfim\targets\t)uolding.doc VN CITY OF TIGARD BUILDING INSPECTION NOTICE ~� Inspection Line. 639-4175 L'isiness Phone: 639-4171 Footing Rain Drain ,over/Service FINAL: Foundation Water Line Ceiling -Plum-j. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg. Top Out Insulation �ctt) Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: Ta _ A.M. I.M. Entry Address: Tenant: __ Ste: MST: BUP: __-- Con/Own: _�� _'� _- MEC: PLM: THE FOLLOWING CORRECTIONS ARE REQUIRED- ELR. _ _------- Inspector:-iii- fDact e, :���- /XAPPROVED —DISAPPROVED/CALL FOFt REINSP. rC9 Col CITY OF TIGARD 0 ;LDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Ela Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: — Date: & — A.M. PM. Entry: Address: s .. C Tenant: Ste:_-- MST: Con/Own: 4,51V -.3�3 2 MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 1� oe Inspector: G1 Date: _APPROVED DISAPPROVED/CALL FOR REINSP. CF CO 1 JPC ELECTRICAL SERVICES, INC. 4120 S.E. INTERNATIONAL WAY SUITE A107 MILWAUKIE, OREGON 97222 FAX: 654-2772 654-3325 800-737-6648 Date: ., a pirrel Cone: Inspection Required on Permit Number: ELC'• cI 6 G r Dear Property Owner; We had scheduled your Final Inspection, but you were miavailable. State Law requires that a Final Inspection be obtained on all Permitted Work. Please contact your local Building and Zoning Department at w:Yl -�_1 I—/ 1 to reschedule a I ime for your final electrical inspection. In the event of a fire or a Life Safety Hazard,your insurance carrier may deny any claims due to the failure of obtaining a Fina!inspection for the work performed on your property if that work was the cause of the claim. If we had performed a complete Service change, you will also need to contact your Power Company and request them to do a"Permanent Hook Up"to your service. Please he advised that we will no longer be held liable as outlined above from the date indicated above. We have complirA with State Law. If any violations are found and are due to our error or onuttance,we will perform the required changes as is outlined in our contract agreement. Sincerely, JPC Electrical Services, Inc. CC: Local Building&Zoning Department File iaspregd.doc i F_ ELECTRICAL PERMIT PE #: 0228 CITY OF TIGARD DATREMIT ISSUEDEL.C96–: 1214/15/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd,Tigard,Oregon 27223*8199 (!03)839-4171 PARCEL: 25I11AD–OL71300 S I I E ODDRE13,13.. . . . 06555 SW ID11,1EBROOK, 3 I- SUBDIVISION. . . . : PINEBROOK TERRACE ZONING.-R-4. 5 BLOCK. . . . . . . . . . .. LOI.. . . . . . . . . . . . . :136 Project Descr-iption.- CIRCUIT FOR JACUZZI UNIT---- -----TE-MP ERVC/FEEDERS----,-- ___--MISCELLANEOUS--___ 1000 ----MISCELLANEOUS------ 112100 SF OR LESS. . . . : 0 0 – 200 amp. . . . . . . % 0 PUMP'/IRRIGATION. . . . : 0 EALH ADD' L 5009F. . . : 0 201 – 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 .- 600 amp. . . . . . . : 0 SIGNAL/PANE1.. . . . . . . 0 MANF. HM/ SVC/FDR. . ' 0 601+amps-1000 volts. , 121 MINOR LABEL ( 10) . . . : 0 -----SERV I CE/F EEDE R•---.-- -------BRANCH CIRCUITS-­­­ -----ADD' L INSPECTIONS—- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: el PIER INSPECTION. . . . . 1 0 201 400 amp. . . .. . . - 0 1st W/O SRVC O't FDR. : I PER HOUR. . . . . . . . . . . 1 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . .. 0 601 IC-00 amp. . . . . : 0 REVIEW SECT IOiq­-­­-­----­---­- 10004. amp '- It. _ . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . ; Reconnect o. 1y. . . . . .. 0 SVC/FDR > = 225 AMPS- - CLASS AREA/SPEC OCC. : Owner. FEES –--------------------- WOOD type aMOI.Ant by date reapt 8555 SW PINEBROOK PRMT $ 35. 00 JMH 04/1b/96 96-278178 5PCT $ 1. 75 JMH 04/15/96 96 278178 TIGARD OR 97224 Phone #: Contractor: JPC ELECTRICAL SERVICES INC $ 36. 75 TOTAL 4040 SE INTERNATIONAL WAY REUUIRED INSPECTIONS MILWAUKIE OR 97222 Wall Covet- Eler-tll Final Phone #: 503-654-3325 Elect' I Set-vice ...... Reg #. . : 93774 This permit is issued subject to the regulations contained in the Tigav,d Municipal Code, State of Ore. Specialty Codes and all other Ittee Taiy1 IA Ve applicable laws. rill 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 tW 180 days. 1.ted By -(.)WNER I NSTALLATI The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE.- DATE: INSTALLATION SIGNATURE OF SUPIR. ELEXIN: —------- DATE: LICENSE NO: Call for inspection -- 639-4175 J-4,1Z i, C K r, i l✓ 84 7- ��a�►; Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # Phone (503) 639-4171 Date Issued CITY OF TIGARD FAX (503) 684-7297 Issued by TDD No. (503) S84-2772 Inspection (503) 639-4175 _ I ,. Job Address: 4. Complete Fee Schedule Below: Name of Development O Number of Inspections per permit allowed – Address.s �S S {� Y I 4E C rC'zo F< _ Service included Items Cost(ea) Sum City/State/Zip 4a. Residential-par unit 4 1000 sq it or less $11000 Name (or name of business) PFS-Cid I C t A �,JC�G� Each additional f eq II or portion thereof $2500 1 Commercial❑ Residential© Limilwl Eno nv $2500 Each Manul'd H,:me or Modultrr 7 Dwelling Service or Feeder $6800 2a. Contractor installation only: 4b.Services or Feeder* Installation,alteration,or relocation Electrical ContfaetorSPe- G(6cTit/ C-Ac_ St=��>1�E 200 amps or lose $60.00 Address Ll 1.-)0 :Sj Z,47ZX41g7-i wj/)t_ tL^ -1+A107 201 amps to 400 amps $8000 401 amps to 600 amps $12000 2 State Zip�i 7d� 601 amps to 1000 amps $18000 z Phone No. GSU - 3-3J ; Over 1100n amps or volts $340.00 _ 2 Contractor's License No. -37 Reconnect only Contractor's Board Reg. No., G9 3'7 7 4c.Temporary Services or Feeders �-- Installation,alterali,,n,or relocation Signature of Supr. Elec'n _ 200 amps or less $5000 i 201 amps to 400 amps $75 00 License No. 4 (91,7 3 3a 5 401 amps to 800 amps $10000 Over 600 amps to 1000 volts 2b. For owner installations: see V above Print Owner's Name Now, Branch Circuits New,alteration or extension per panel Address a)The lee for hr-.nch circuits with City State_ Zip purchase of*sake or Nader Ne. Each branch circult $500 Phone No. b)The'+e for branch circuits wffhoof The installation is being made on property I own which is purchase rf servke or Node Ne. 2 First branch circuit $3500 not intended for sale, lease Of rent Each additional branch circuit $500 Owner's Signature _ 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or imgation circle $4000 2 Foch sign or outline lighting $40 oo Signal circuits)or a limited energy 2 Please check appropriate item and enter lee in section 5B. panel,alteration or extension $4000 _4 or more residential units in one structure Minor Labels(to) $roo00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N E.C. Chapter 5 Par inspe lion $3500 Pot horn $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above "�— apply. Not required for temporary construction services. 5. Fees: ( �] 5o. Enter total of above fees NOTICE 5%Surcharge(.05 X total fees) $ PERMITS BECOME VCID IF WORK OR CONSTRUCTION SubtrIttal $ AUTHOF.IZED IS NOT COMMENCED WITHIN 100 DAYS,OR IF 5b. Enter 25%of line A for CONP i RUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if inquired(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. 0 Trust Accountill! $ Balance Due $ .ard`mnMNwe-pm Tipp Oh III 1:'I '11.1 f m 'o( !)l I! I.-II-11 M JH I VI.. 47x1 A1111111=:1 "', '0 t,11 .11`1 1 P I"I I I I W .11 IA I I)I 111 " t V I I 1 11'.1 P(-)y 14L 1,4 1 f C,il 11 IN I I'(1 I IK{ N f f4 till 11,IN 1 1 11 I lilt, I j C-4410.), 0 R f it OP101 IN 1 1'r 1.1 1