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11565 SW 90TH AVENUE .1;} ADDRESS: q� VPJV'U N 1-- J C.7 W J i:\records\microfl(ii\targetslt)uilding.doc CITY OF TIGARD BUILDING INSPEGPON DIVISION MST 2.4-Hour Inspection Line: 639-417a Businoss Line: 639-4171 BUP �. I91 b_Date Requested ( '�- �J W PM BLD Location ZL (� _� `ti" -L'_ .¢c.�L __ Suite MEG Contact Person _ Ph _ _ PLM Contractor �,'V�} _(: Ph _ SWR �RUILDING �__� Tenant/0wr1i;;r _ �� + �� r�(�7k'•— ]—] L� _t , Retaining Vbail �-� -_ ELR Footing A.CeSs: Foundation FPS Ftg Drain Crawl Drain Inspection i Iotas: /^ n cGN Slab Post 8 Beam ' lr Ext Sheath/Shear Int Sheath/Shear Framing Insulat on n Urywall Nailing —�Y --LlJ'L.r�•z,.-�� \ C.c+ 2 --,C � - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: —--- — Final '—^-- --- PASS PAR'r FAIL PLUMBING Post d Beam Under Slab _— Top Out —� Water Serrv;ce Sanitary Sr:wi)r Rain Drains Final ..��_ — ---------- PASS _ PART FAIL MECHANICAL - Post 3, Beam —,------- Rough In Gas Line Smoke Dampers Final — -- — -- --- _.-------- —- - -- PASS - PARL FAIL LECTRICA TeMV,re Rough In UG/Slab Low Voltage Fire Alarm _ F' PAS�FART FAIL SI Ba:k611/0-4ding _-__- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ] Please call for reinspection RE — j Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk I Date inspector Other _ t __ __ Ext Final PASS FART rAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGA►RD EL-ErTRICAL PIERMIT PIFR11IT #: ELC98-0271 DEVELOPMENT SERVICES DATE ISSUED. 05, 22/98 13125 SW Hall Blvd.,Pgard,OR 97223 (503)639-4171 P,ARCEL: IS135DC-08200 SITE ADDRESS. . . : 11565 SW 90TH AVE SURD I V I S I ON. . . . PIPI 1990-003 ZONING: R-4. 5 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . 001.2 JURISDICTION: TIG r,ro.j ect De ser i pt i on: Installation, alteration, or relocation of a 20+0AMP service/feeder and aEld a branch circuit to an existing single family dwelling. UNIT---- ---TEMPI SRVC/FEEDERS----- -----MISCELl_ANEOUS------ 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PIUMP/IRRIGAT ION. . . .ON. . . . : 0 EACH ADDIL 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 L I M I TED ENERGY. . ., . . : 0 401 -- 600 amp. . . . . . . : 0 S I GNAL/PANEL-. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL 0 -----SERVICE/FEEDER----- CIRCUITS----- ---ADD' L INSIJECT IONS---- 0 — 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: I PIER INSP,ECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W10 SRVC OR FDP. : 0 F-,ER HOUR,. . . . . . . . . . . : 0 401 600 amp. . . . ., . : V, EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0 601 1000 amp. . . . . : 0 -------------------FLAN REVIEW SECT'ION---_---.-------._._. 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL_ : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA"SP,EC DCC. : Owner: -------------------------------------------------------- FEES ------------------ JACK FROST type amot.int by date rer* 1 !565 SW 90TH AVENUE PIRMT $ 65. 00 GED 05/22/98 9* --' . 945 . il6ARD OR 97223 ;PCT $ 3. 25 GEO 05/'22/98 1.' 3('- 1345 Phone #: Contractor-: ------------------------------ WELLCO ELECTRIC INC $ 68. 25 TOTAL 859 E JEFFERSON STREET REQUIRED INSPIECTIONS STAYTON OR 97383--2039 Phone #: 769-8949 Reg #. . : 001275 This permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of Oregon Specialty Codes and all other applicable laws. All work will be done in au.,ordance with approvbd 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: Orryrn law requires you to follow the rules adopted by the Oregon Utility NDtifiration Center. Those rules are set forth in OAR 952-001-00.0 through OAR 952?-001-1987. You may obtain a copy of these rul-s or direct questions to O%Mby calling 46-1987. Permittee Signature : Iss'..k I- By : INSTALLATION ONLY---------------_.--_.—_-----__—._ The NLY------------------------------ The installation is being made on property I own which is not intenled for sale, lease, cr rent. CC nWNF'.0 S S11MATURE: DATE: LIJ CONTRACTOR INSTALLATIO61 _.J SIGNATURE OF SUPIR. F[_FC' N- DATE: I-ICENSE 140: IV 4-+++++++++-++-4.......4....... t.....4+++4.4,+++................................4•....... Call 639-4175 by 7:00 p. m. for an inspection needed the Tie)(t bLISiness day .................4..................4-++4-+++4--L.........4-4........ 05/18%98 J1UN 11:u6 I-AX 5(13 590 1960 CITY alp' ,'GARD RECEI'�T'itlectrical Permit Application Pl,u,Check#_ _ RP7'd By_ 13125 SW HALL BLVD. MAY 9 199 Opts Ruc'd �TIGARD OR 97223 Date to P.E. - Phone (503) ;-39-4171,x304 O^te to DST �„MUNITti' DEUELOf f�EN7 Print or Type Permit ri �/ Inspection(503) 639-4175 lncomp'ete or illegible will not be accepted Called Fax (503) 681-7297 --- 1. Job Addrese: 4. Complete Fee Schedule Below: Number of Inerections per permit allowed Name of DevelOpme,it ` ` "1j ����� F RnS ► Service Included: Items Cost Sum Name(or name of kusiness) C� A -_ "" Address \v 'L's W_ `���~ A J f? 4a. Residential-per unit r $110.00 4 1000 sq.It.or less City/State/Zip` �AR� Each additional 500 sq.it.or - $25.00 1 C�^7 pinion thereof . Commercial ❑ Residential-w— esidential� C�-1-7 J Limbed Enemy $2500 - -. -- Each Manul'o Home or Modular UNolling arvlce or Feeder $6E.00 _ _ 2 Via, ConiraCLUt 11 i�lctnc3u05i .717,j. 4b.Servlas or Feeders (Attach copy of all current licenses) R`C `N< Installation a4oratlon,or relocation r ' ^ate'. ��C�lramps ¢�nnn �Pn' 2 Electrical Contractor_ 200 amps ar Iesa - Address_RSc\ 1E • E �''a p 401 amps to 600 amps 400 amps $120.00 2 Ciry �`'� )ty Stat©_ Zlp_ -' 60t amps to 1000 Emps $180.00 2 Phone No. � ��=� Over 1000 amps or volts _ $340.00 2 Job No...,.. � --- Reconnect I v � $50.00 2 Elec.Cont. Lice. No. - .Exp.Date%_OOR State CCB Reg.N-.L,_ t 1_�L`�—Exp•Date7-- t 2-0-- 4c."temporary Services or Feeders COT Business Tax or Metro No. Exp.Date installation,alteration,or relocation_ 200 amps or loss — $55.011 2 201 amps to 400 am _____ps $7 2 Signature of Supr. Elac'n ®���-- 401 amps to 600 amps $1000.00.00 _ '�-- Over 600 amps to t000 volts, License Nr �_ E ply \Z)-'O\_ O,� ass"b"above. Phono Nr _ n" — 4d.Branch Circuits New,alteration or oxlonsion per panel 2b. For owner installations: a)The fee for branch circuits will, purchase of service or 04Z1% fender fee. Print Owners Name_ ______ Each branch circuit 1_ $5.00 _ 2 Address __ b)The lee for branch circuits City __ without purchase of service or feeder tee. $35.00 First branch circuit $5,00 O� Each eddlllenal branch circuit_ N,s `�nS� snot it c1 -N D 4e.Mlscellaneou> M (ServlcO ar leader 1101 Included) $40.00 2 Eich pump or irrigation circle 840.00 - 2 O Cir `\ �lr r� Easlyn or nollne lighting ch Signal circuit(s)or a limited energy panel $80.00 2 c ,alteration or extension 3' '.��� Minor Labels(10) 00.00 R PC 1VC �� 5B 4f.Each additional Inspection over N C 1`� �� the allowable In any of the above ` Or_ $35.00 -, Per Inspection $55.00 -- ` Per hour In Plant $55.00 --- .-- CIO .Su P�k� Apply. 5. Fees: LLiSa.Enter total of above fees $ -� Not 5%Surcharge(.05 X total fees) $ Subtotal $ -^= 5b.Enter 25%of Ilne tie for PEnMI T o BECOME VOID IF WORK,OR CONSTRUCTION AUTHORIZED IS Plan Review(UQ_qu_ILPd(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUr'TION OR WORK Subtotal �ZS IS SUSPENDED El ABANCONED FOR A PERIOD OF 160 DAYS AT ANY u Trust Account B _�_ S TIME AFTER WORK 15 COMMENCED. Total balance Due UDST S�ELCOB At9• `10V-6