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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-14our Inspection Line: 639-4175 Business Line: 639-4171 - -
BUP _
Date Requested C / '_— AM PM _ BLD
Location— �5 ,5 �� 't'<� sui ee i MEC _^
Contact Person _ Ph FLM
Contractor_ Ph _ SWR _
BUILDING Tenant/Owner ELC �-
Retaining Wall
Footing ELR
Access:
Foundation —
� i�� FPS _
IFtg Drain SGN
Crawl Drain Inspection Notes:
Slab Si'r
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear ----- '—
Framing
Insulation ---
Drywall Nailing — - - -- -^-- - —
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: - -----------— ----- - —
Final
PASS PART FAIL
PLUMBING
Post& Beam - --- — -- ---- - — -------
Under Slab
Top Out -----_—__—
Water Service
Sanitary Sewer - --- ----�-- -- --
Rain Drains
Final -._..—
PASS PART FAIL none
MECHANICAL -
Post& Beam -----_- ------.--__._— �RED
--- ___
Rough In
Cas Line
Smoke Dampers
Final — - ----
PASS PART FAIL
ELECTRICAL _� -------- ---..- �_
Service
Rough In --- ------ -_-- -- — —.—_ �_
UrilSlab
Low Nottage --------_- —
Fire Alarm
Final
PASS PART FAIL
SITE _ -~
Backfill/Grading ---! - '- - —
I Sanitary Sewer
Storm Drain I ]Reinspection fee of$— required before next inspection Pay at Citti, Hall, 13125 SW Hall Bivd
Catch Basin Please call for rens ection RE'
Fire Supply Line I p -_-___-__ - _ _: [ Unable to inspect-no access
ADA
Approach/Sidewalk
Date ate Inspector
n,pectar __ __ Ext
Final
PASS PART FAIL_ DO NOT REMOVE 'this inspection record from the .job site.
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT -
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY
PERMIT #: ELR98-0186
DATE ISSUED: 07/24/98
PARCEL: �S 1 14A0-�1 1�Q+
SITE ADDRESS. . . : 16285 SW 85TH �jsD'O. 100 AVE
ZONING: I -P
BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN: TIG
Protect Desr_ription . Installation of protective signaling, job no. 24134.
A. RESIDENTIAL----------- B. COMMERCIAL_- ------ -- ---------------------- -----
AUDIO R STEREO. . . : AUDIO R STH-REO. . : INTERCOM it PAGING. . :
BURGLAR HLARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC: LITE:
OTHER. : : HVAC. . . . . . . . . . . . : PROTEC,riVE SIGNAL_. . :X
INSTRUMENTATION. : OTHER. . : . .
TOTAL_ # OF SYSTEMS: 1.
Owner: ---------_-- --- ---- -------------- __---_ __- ------- FEES -------- ---- ----
DURHAM HALL type amo+_rnt by date recpt
16285 SW 85TH AVE PRMT f 40. 00 DEB 07/24/98 98-307633
TIGARD OR 97224 SPCT $ 2. 00 DEB 07/24/98 96-307633
f none #:
Cor.tractor: ___.------------------_____--__.--------_------ ------------.._-__-____..__.__-..
HLNEYWELL INC $ 42. 00 TOTAL
15495 SW SEQUOIA
STE 100 --- -- - REQUIRED INSPECTIONS
--------
PORTLAND OR 97224 Ceiling Covey Low Voltage Insp
'hone #: 968-3333 Wall Cover Elect' 1 Final
Reg #. . : 000578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all either
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 than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility. Notification Center. Those rules are set forth in OAR 952-081-0010 through OAR 952-001-0080. You say obtain copies of
these rule�/or direct questions to OUNC at (5031246-1987.
1
ISSUeby e J � Permittee Si gnat ttrej Q J
INSTALLATION
v~i IThe installation is being made on property I own which is not intended for
sale, lease, or rent.
r)WNE R' S SIGNATURE, _ - v_—_-- DnTE: ---.— _—
J
INSTALLATION ONLY-- ------ -----------_______.._
LD
Ill
SIGNATURE OF SUF'R. ELEC' N; — — DATE:
LICENSE NO:
++++++++++++•t+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++...
+
Call 639-4175 by 7:00 P. M. for- an inspection needed she next b+_rsiness day
++++++++++++++++++++++++++++++++++++++++++++•+++++++++++•s++++++++++++++++++++.+++
mss,
r-"NE L
CITY OF TIGARD Electrical Permit Application Plan Check fr
13125 SVII HALL BLVD. Reed Bye X-
r
TIGARD OR 97223 Date Recd 7
Date to P.E. -
Phone(503)639-4171, x304 Print or Type Date to DST
Inspection (503) 639-4175 Permit a E"L
Fax (503)664-7297 Incomplete or illegible will not be accepted Called
1. Job Address:^' l f 4. Complete Fee Schedule Below:
Name of Development 1J(/rh rnY /1 c r' h/,1, #16o tlumbe-of Inspectlo,rs,. , permit allowed
Name(or name of business) Service included: Iter is Cost tium
Address /(e.2 S 5 S&J 85th Ayr- _L/d(q #l o6 4a. Residential-per unit
J 1000 sq.ft.or less $110.00 4
City/State/Zip�cti d r C'/Q c7/.Z 1 `� _.- Fach additional 500 sq.It.or
Commercial ® Residential i�l portion thereof $25.00 _ 1
Limited Energy $25.00 _
Each Manuf'd Home or Modular
Dwolling Service or Feeder $66.00 2
2a. Contractor installation only;
(Attach copy of all p rrent licenses) 4b.Services or Feeder.;
Electrical Contractor Installation,alteration,or relocation
200 amps or less $60.00 2
Addrp s 5 i joU
City l' ^c01 amps to 400 amps $60.00 2
o r I l cLnd Slate ' Zip 9 7�2 Si `. 401 amps to 600 amps $i 20.00 _ 2
Phone No. 601 amps to 1000 amps _- $160.00 2
Job No. - Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 7C L L Exp.Date i Reconnect only $50.00 2
OR State CCB Reg. No., 5 7 K,2!-/ _Exp.Da'
/ 4c.Temporary Services or Feeders
COT Business Tax or Metr No. 4.O V Y _Exp.Da e i Installation,alteration,or relocation
200 ampa or loss $50.00
�• / -`~- 201 amps to 400 amps $75.00
Si2
gnature of Supr. Elec'n - 401 amps to 600 amps $100.00
License No. ` . Over 600 amps to 1000 volts,
1 y l % Exp.Date_ O see"b"above.
Phone No. fr?? 'Ir.K 330b
_ 4d.Branch Circuits
New,altoralion or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Naine feeder tee.
Address Each branch circuit $5.00
b)The foo for branch circuits
City _ State Zip_ _ without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00
Thn installation is being made on property I own which is not Each additional branch circuit_ $5.00 ;
intended for sale, lease or rent. 4e.Miscellaneous
Owner's Signature (Service or feeder not Included)
9 Each pump or Irr(gar.on circle $40.00 _ 2
Each sign or outline lighting $40.00
3. Plan .Review section (if required):* Signal circult(s)or a limited energy
panel,alteration or extension $40.00 Cr 2
Minor Labels(10) $100.00
Please check appropriate irem rind enter fee in section 5B.
4 or more residential units In one structure 4f.Each addltlonal Inspection over
Service and feeder 225 amps or more the allowable In any of the above
i System over 600 volts nom!nal par inspection $35.00
._, Classified area or strurture containing special occupancy Per hour $55.00 _
as described in N.E.C.Chapter 5 In Plant $55.00
c�
rJ "Submit 2 sets of pima with application where any of the above apply. Jam• Fees: 4/� ��,
Not required for temporary construction services. 5a.Enter total of above fees $ - 51._LL_
5%Surcharge(.05 X total fees) $ 'C
NQIL E Subtotal $
5b.Enter 25%of line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED 15 Plan Revlaw It reouired(Sec.3) $ --NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK subtofel $ -
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY rr--
TIME AFTER WORK IS COMMENCED. t._1 Trust Account#---
Total
__Total balance Due
I nSTSFItMS flip lieu 91PR '-" --__.--_.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
• 24-Hour Inspection, Line: 639-4175 Business Line: 63°-4171 —
n /�p BUP _
-;z y Date Requested ! ' "7 D AM_ PM BLD
Location I IS5 i E5 Suite `t100 MEC
Contact Person �.�� / ul�� �� Ph 6sr� 410 PLM
Contractor Ph '3 > SWR
y
BUILDING Tenant/Owner ELC
�'A
Retaining Wall ELR;
Footing Access:
Founda';on IFPS
Ftg Drain I1 r'� X t
Crawl Drain Inspection Notes: VSGN
Slab _,
SIT
Post&Beam
Ext Sheath/Shear
Int Sheat„/Shear —
Framing
Insulation —
Drywall Nailing
Firewall
Fire Sprinkler � f�r�--� �_ U-' k-e_` ^—
Fire Alarm J
SLJsp'd Ceiling
Roof
Misc df
Final �-
PASS PART FAIL -- - --
PLUMBING_
Post& Beam ---
Under Slab
TopOut ------ - ----- — - .--_----
Water Service
Sanitary Sewer - _ -- -
Rain Drains
Final
PASS PART FAIL-
MECHANICAL
Post& Beam - - -- -- --------- ---
Rough In
Gas Line ---
Smoke Dampers
Final - -- ---- - - ---
PASS PART FAIL
Service
Rough In �-
N UG/Slab
-
.- Fire Alarm
jMMat
PASS PART FAIL
`? SITE --— -----
J Backfill/Grading ---
Sanitary Sewer
Storm Drain I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Nall Hlvd
Catch Basin [ )Please call for reinspection RE: [ ] Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date Inspector Ext l
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
SUP
Date Reques�ed - - AM PM
G BLD
Location fU 0 Suite W 160 MEC
Contact Person M, afWV'Ph --(�C!�' ��. PLM
Contractor Ph SWR
IEUILDING Tenant/Owner , ELC
Retaiiiing Wall ELR
Footing Access-
iroundain i ,,y1tl1 O „ FPS _
Ftg Drain , /,
Crawl Drain inspection Notes: ' J �, SGN _
Slab (. V SiT
Post 8 Beam / !/fin-�-...-
Ext Sheath/Shear /I
Int Sheath/Shear IF --
Framing —
Ir;ulation --
Drywall Nailing
Firewall —�
Fire Sprinkler y tj 'en I,
Fire Alarm
Susp'd Cei;ing ,,l
Roof
Misc: __ '� � C Yl- — Y ���j���[ L.I/l--t
Final
PASS PART FAIL
PLUMBING
Post& Beam --
Under Slab
Top Out — -- -
Water Service
Sanitary Sewer --
Rain Drains
Final
PASS PART FAIL
MECHANICAL ._-_-
Post& Beam — —
Rough In
Gas Line - --- --- --
Smoke Dampers
Final -- -------- _-------
PASS PART FAIL
a
ELECTRICAL-2 - — - - -----�..------- -----
�- Service
NRough In -
UG/Slab
Low Volta`
Fire Alarm ed _
Finhl
im
PASS PAR FAIL
w SITE Wo
J
Backfill/Grading --
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$_ required before rext inspection Pay at „ity Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: _ [ J Unable to Inspect-no access
ADA
Approach/Sidewalk �- ��
Other Date � � �S Inspector Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.