14820 SW 83RD AVENUE-1 • �.
iArec-otds\microf _ . • ..
CITY OF TIGAHD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171
Inspection:)/1/U •' .L.,) , -GC./l_�
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough in Fireplace
Post/Beam SKIM Plb,. Tap Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Ling -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp, Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
inspector: Dat .
(,L9PRI7fVED _DISAPPROVED -`APPROVED SUBJECT -)ABOVE
,Call f-or Reinsp.
ELECTRICnL PERMIT
�— PERMIT #: ELCSb 0094
CITY OF TIGARD DATE ISSUED: 02/14/96
COMMUNITY REVIFLOPMENT DEPARTMENT PARCEL: 2S 112PC-04100
131258W Hall Blvd.Tigard,Oregon 97223.6199 (503)W9-4171
ITE ADDRES(Sa. �SW 63RD AVE ZONING:R-4. 5
�UPDIVISION. . . . : HAMBACH PARK
LOT. . . . :25
='roject Description: Microwave circuit
-TEMPwSRVC/FEEDERS_--- -----MISCELLANEOUS------
--
- - RESYDENTTAL_ UNIT– --- _ PUMP/IRRIGATION. . . . : 0
i000 SF OR LESS. . . . : 0 0 – 200 amp. . . . . . . : 0
EACH ADD' L 5005F. . . : 0 201 – 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG, . : 0
LIMITED ENERGY. . . . . : 0 401 – 2:00 alflp. . . . . . . :
Ql SIGNAL/PANEL. . . . . . 0
MANF. HM/ SVC/FDR. . : 0 601+amps-i000 volts. : 0 MINOR LAPEL (10) . . . 0
- -•--SERVICE/FEEDER----.- ----•--PRA;VCH CIRCUITS•------- ---•-ALD' L INSPECTIONS—-
200 amp. . . . . . : 0 W/GFRVICE OR FEEDER: 0 PER INSPECT YON. . . . . : 0
201 - 401 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . :
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . :
601 - 1000 amp. . . . . : 0 ---__________ --_PLs�N REVIEW SECTION-------------_-_.__-._
1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
,leconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . :
CLASS AREA/SPEC OC
C
. »
_- FEES _-- -_
-_
Ownere -_- ________W_.______________________type amount by date Secpt
JOHN SOUI..E .
14820 SW 83RD AVE F'R'hT $ 35. 00 JSD 02/14/96 96--2759: 8
SPi:T t 1. 73 JSD 02/14/96 96-275928
TIGARD OR 97224
Phone #:
Contractor: ------------------------------------- S6. 75
.6. 75 TOTAL
JPC ELECTRICAL SERVICES INC
4240 OE INTERNATIONAL WAY REQUIRED INSPECTIONS
-----
MILWAUKIE OR 97222 Ceiling Cover Elect' 1 Final
Phone #1: Wall Co-ar --- ------
Reg #. . .
This ;Strait is issued subject to the regulations contained in the --— -
Tigard Municipal Code, State of Ore. Specialty Code, an," all other m� gn
applicable laws. All work will be done in accordance with /
approved plans.
This persit will eMpir-e if work is not started
within 188 days of issuance, or if work is suspended for sore -- --- -
than 180 days. _•pled
..___OWNER I NSTALLAT I ONLY-•---__---_
The i,rrstallation is being made on property I own which is not intended for
.i sale, le�j5e, or rent. I)ATEe
v~i OWNER' S SIGNt,11411 a
INSTALLATTON
00 I GNA'1 U RE OF SUPR. E1 EC} N t DATE I
C1:1 _
J LiCE1146L IVU: -
Cal] for inspection - 639-•417'5,
1 4400
L;YlY 01" 1110ARD NIzU61PI OF kk,CEAPI No.
I.,HEUK HIMOUN 1 36. /,7
11OW" r JPV. E-ILF.ClIRWAL SERVICt'.13 GASH AMOUNT r 0. OW
IN[:; PAYI*A1 D14IF m kele/ 14/96
4040 SE INTERNATIONAL WY MT: f-411B 1)1 V i S I UN
MIL.W141,11,0k,
Ill 't OA, III PAY111 I'l I AML)UN I PAJ D PURPOSI-'. LA-, ►-44yml_*M'7 AVILILIN I PO 1 1)
35.00 ST. 16911-1) PI-Ai P74
tdjOj-`O its! #13RD Will.
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # _
Permit # -�
Phone (503) 639-4171 Date IssuedFAX (503) 684-7297 Issued bV
CITY OF TIGARD TDD No (503) 684-2772
Inspection, (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Be:ow:
Name of Development _ Number of Inspections per permiS allowed
Address I L4`9 QL0 s�1�1 b� AQ& �1' So1vica included: Ite+is Cort(e.) Sum
City/State/Zip / /�7r A1�/J lgl� R 7 or d Y 4a. Residential-per unit 4
1000 rq ft or I-m $11000
Name (or name of business) Of_l S.1,L, L CC_ Tech addnronai 500 sq ff or
ponson thereof $2500 1
Commercial El Residential
Residential LLA I.rmded Energy $2500 �__
Eads Manufd Home or Modular 2
Dwelling Service or Feeder $6800
2a. Contractor installation only: 4b.Services or Feeders
Installation,alleration,o. relocation 2
Electrical ContractOrsPL Cc-cc Tk'1CAC_ 6f01CCS 200 amps or leer sw00 2
Address"/,DO St- /nh-&je^/AT'yi✓)1[ WAV -MAL 201 amps to 40n amps $so 00 2 J
City&I tot)(L KI C Stat@ �+� Zip9 76J a Cl 401 ansps to 600� or; $+20 00 2
_ 001 amps Io+000 an,n $18000
Phone No. - 3 3a?S" I Over 1000 amps or volts $34000
2
Contractor's License No. -3 7 C Reconnect only $Su 00
Contractor's Board Reg. No. 09 77 _. 4c.Temporary Services or Feeders
Installation,alters'.ron,a n:location 2
Signature of Supr. Elec'n 4— 200 amps or Iles $5000 2
1-icense No. 01S:65'r 201 amFs to 400 amrs $7500 2
4111 amps to P00 amps $10000
Over 600 amps 10 1000 volts `
2b. For owner Installations: see•b•above
4d. Branch Circuits
Print Owner's Name
New,al+erallon or extension per oanel
Address T a)The fee for branch circuits+rlth
City __ State Zip_ purchase,of eernks or Aa dw Are. 2
Each branch circuit $5 On
Phone N0. b)The tee for branch circuits alrhouf
The installation is being made on property I own which is purchase or awyke of AmW be. I 7 S ?
First branch circuit f $3500 J 7
net intended for sale, lease or rent. each additional branch arae -- $500 l
Owner's Signatures_ 1. Miscellaneous
(Service or feeder not included)
3. Plan Review section (it required): Es h pump or irrigation circle $4000
Each sign%;r outline lighting $4000
fiignal circuit(s)or:limited energy >
Please check appropriate item and enter fee In section 5B. penal,aBaration or ehenslon S4000
4 or more residenndl units in one structure Mina,Labels(10) $100 00 r
Service and feeder 225 amps or more
N Syste;: over 00 volts nominal 4f. Each additional inspection over
Classified area ar structure containing special occupanry the allowable in any of the above
Par Inspection $3500
as described in N.E C.Chapter 5 Per hour $5500
J In plant $5500
.-, Submit 2 sets of plans with application where any of the above
E� I apply. Not required for temporary construction services.
5. Fees:LD
+ 5a. Enter total of above Ines $ f� J
NOTICE 5%Surcharge(05 X total lees) $ '
PERMITS BECOME VOID IF WORK OR CONSTRUCTION I 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 if required(Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Accountill $
/49--fit��"u �^� liter-L ' Balance Due $