9461 SW WASHINGTON SQUARE ROAD ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service INA
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach,
Plbg.Und/Fir/Slab Plbg.Top Out insulation - lec.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: a A.M. —P.M. Entry: _
Address: Cl q ` A-_ _
Tenant: MST:
BLIP.
Con/Own: �� MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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Inspector: ���m Date:
!APPROVED `DISAPPROVED/CALL FOR REINSP. ._—�! CO
� ' CITY OF TIGARD
DEVELOPMENT SERVICES FI-ECTRICAL. PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC97--0059
DATE ISSUED: 02/03/97
PARCEL.: 1912,60C-01107
SITE ODDPES�'-. . . : 09461 SW WASHINGTON St,UARE RD
'.SUBDIVISION. . . » ZON ING:C-G
BI-OCK . . L.OT. . . . . . . . . . . . . .
Project Description : INSTL 2 PRANCH CIRCUITS
JOB # 70876
UNIT---- SRVC/FEEDERf7)---..-- -M
1.000 SF OR L-ESS. . . . : 0 0 - 200 amp. . .. . . . . : 0 PUMP/IRRIGATION. . . . 0
EAC' -`iDDI L 5005F. — : 0 201. /+00 4mri—. . . .. . . 7 it, SIGN/OUT 1-111F LTG. . : 0
I-IM TED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL...,...: 0
M(',Nf-. HM/ SVC/FDR. . . 0 601+amps1.'?t00 volts. : 0 MINOR LABEL. ( 10) . . . 0
----SERVTCE/FEEDER----- CIRCUITS----- INSPECTIONS——-
0 - 2O1,71 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PFR T.NSVIECTION. . . . . : 0
201 - 400 amp. . . . . . . 0 Ist W10 SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 121
401 600 .-imp. . . . . . : 0 EA PDP.' l- Rl'?NCH CIRC: 1. IN Pl.-ANT. : 0
601 1000 amp. . . . . : 0 REVIEW SECTION--...___________.___. .
t000+ amp/volt. . . . . : 0 > =4 RE'S UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . ,
Reronnect only. . . . . : 0 SVC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. O.
Owner: Ff-E9
OLSON & JONES COMMERCIAL. type nmol-trit by date recpt
j -AT 02/0"�'/97 97--2898'7'_1
9461. SW WASHINGTON 30 RD I'RMT $ 40. @0 1 5
5 P CT $ oo TAT 0;':'/03/97 97-289835
TIGARD OR 9*72'�=_'3
Phone
Contractor:
OREGON ELECTRIC GROUP $ 42. 00 TOTAL,
10 .0 Sr 11TH
REOUIRED INSPECTIONS
POPTI-ANT) OR '97214 Cpilillg Cover- Und ergro kind Cove
Phone 51713-234-9900 Wall Cover Flett' l Service
Reel 11100002"'
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permit Signature--
applicable laws. All 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 � /m
Q_ than 180 days, i._S_S'_('!ed By
TNSTAL.1-ATTON
L4 The installation is being made an property I own which is not intended for,
-ialp, lease, at, rent.
OWNER' S SIGNATURE: DATE:
--rONTPACTOP TNF)TALI- ATTON
9TGNATURE OF SUPR. EL.EC1N: DATE:
i-ICENSE NO:
(','all for inspection -- 639--4175
r Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # CV17- L
Phone (503) 639-4171 Date Issued 11-31C C
CITY OF TIGARDFAX (503) 684-7297' Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. ,lob Address: Jos tvo.��)X 1(P4. Complete Fee Schedule Below:
`PA" i Su) Wa- bblkorff,,
Name of Development Baskin Rots Number of Inspections per permit allowed
AdireSs Washington Square — '708 74. .Service included Items Cost(oa) Sum
City/State/lip Tigard, OR 4a. Residential-p9r unit 4
1000 sq 11 or less $1 10 oc
Each additional 500 sq It or
Name (or name of business)_ Baskin Robbins portion thereof $25 DJ t
Commercial R1 Residential❑ Limited Energy $2590
Each Manurd Homo or Modular 2
Dwosing Service or Feeder $6100 _
2a. Contractor installation only: 4b.Services or Feeders
Installation,niteration,or relocation 2
Electrical Contractor OREGON ELECTRIC GROUP 200 amps or lase $600 2
Address 101.0 SE 11th 201 amps to 400 amps $8000
City Port ld State OR Zip 97214 401 amps to 600 amps $12000 __ 2
�l an _ p 601 amps Io 1000 AMPS $18000
Phone No. 234-9900 Over 1000 amps or volts $94000 2
Contractor's License No. %BOER% -95C Reconnect only $5000 -
Contractor's Board Reg,Nu-.-, 20 _ 4c.Temporary Services or Feeders
1 � - Installation,alteration,or relor.Rhon 2
�
Signature of Supr. Elec'n 1% 200 amps or less $5000 _ 2
201 am to 400 amps $75 00 2
License No. 23455 Phon o. 234-9900_ 401 amppssto600amps $10000
Over 600 amps to 1000 volts
2b. For owner installations: see•b-Abse
4d. Branch Circuits
Print Owners Narne _ Naw allaralion or extension per panel
Address a)The fee for branch circuits with
City ___ State purchase or urvice or Mader Me. 2
zl�j Each branch circuit $500
Phone No. h)The fee for branch circuits without
1 he installation is being made on property I own which is purch,se of Service or Moder roe. 2
t
First branrhcircuit 1 $3500 35.00 2
not intended for sale, lease Or ren
tach additional branch circuit �- $500
Owner's Signature _ _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump nr irrigation circle $4000 2
Each sign or oulline fighting $4000
Signal cnmuB(s)or a limited energy 2
Please check appropriate item an-1 enter fee in section SB. panel,alteration or extension _ $40 00
_4 or more residential units in one structure Minor Labels 110) — $too no
Service and feeder 225 amps or more q f, Fsch additional inspection over
_ System over 600 volts nominal P
c�
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.0 Chapter 5 Per Inspection $3500
Per hour $5500
Submit 2 sets of plans with application where any of the above In Plant $5500
apply. Not required for temporary construction services.
� 5. Fees:
5a. Enter Ictal of above fees $ 40.00
NOTICE 5%Surcharge(05 X total fees) $ 2.00
~r PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $w _5b. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec.3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS -
COMMENCED. r ❑ Trust Account M $
C7DLO Balance Due s 42.00
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