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11445 SW 94TH AVENUE a' ADDRESS: i SW 941WAVtwuk 4 a N i y 1- r-� J C.7 LL) J I:Veco ds\rtnicrotlmUargelsllxiilding.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 c� BUP Pate Requested �'�j'" / AM_ PM BLD Location L(d i� ) �' Suite MEC Contac Person ?'( Ph PLM Contractor _ Ph SWR o _ BUILDING` Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain — --- SGN Crawl Drain Inspection Notes: --- Slab SIT Post& Bearn Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ✓t-' I �ZZt --� _ _ Fie wall Fire Sprinkler Fire Alarm Susp'd Cei;ing Roof Misc: _ Final -u--- - 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 tLECTRIFAI, Service r Rough In UG/Slab Low Voltage _-----------____—. r- Fire Alarm .� Final ----- ------------ ---—- - c,� PASS PART FAIL SITE -� Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ (Please call for reinspection RE: __— --_- _ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other _ valeA? _ Inspector �G _— Ext - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. -"!T BUILDING INSPECTION DIVISION �.. . Y OF TIGARD BUILD MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP 7 e--1c Date Requested � L ' AM PM BLD t_ocation �'� �? 1 r( Y _ Suite I ' MEC Contact Person Ph j02&-`7 PLM Contractor Ph N SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR Footing Access- /� FPS Foundation - Ftg Drain AGN Crawl Drain Inspection Note .e� Slab ) f d 4,00aV0SIT Post& Beam ��,� ��>� Ext Sheath/Shear -- Int Sheath/Shear Framing -- _ -- — Insulation Drywall Nailing - Firewall Fire Sprinkler ----- Fire Alarm Susp'd Ceiling --------_ - �— _— ---- Roof ---— rvlisc: Final - PASS PART FAIL --- PLUMBING Post& Beam _-_— Under Slab Top Cut Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam Rough In GasLine -- ----- ---------- ----. ---------- — Smoke Dampers Final -- _- - __ ----- - --- --- ------ .------ — ------- ___-_ PASS _PART FAIL E ECTRICAL-" Servire Rough In r UG/Slab ------ -- -- -- `� Low Voltage Fi e Alarm — — —_ - -- -------- --_ _-- - -- - i in S PART FAIL SITE - ------ �' Backfill/Grading Sanitary Sevier Storm Drain ( ] Reinspection fee of$_ _recuired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch BasinUnable to Fire Supply Line [ � Please call for reinsuection RE inspect-no access �—_ _ ( ) ADA Approach/Sidewalk Date C Z 1. —_ Inspector--_ !L-C �' Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOr�' T I G A R® ELECTRICAL PERMITPERMIT#: ELC1999-00534 DEVELOPMENT SERVICES DATE ISSUED: 9/1/99 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S135nB-05300 SITE ADDRESS: 11420 SW 94TH AVE �� SUBDIVISION: MILLER rr (� ZONING: R-4.5 BLOCK: og0�J J ISDICTION: TIG Proiect Description: Rep!:ca existing damaged electrical service of 200 amps or less. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIC iJ/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ _BRANCH CIRCUITS _ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1 st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect onlV: SVC/FDR >=225 AMPS: _- CLASS AREA/SPEC OCC: Owner: Contractor: HARDT, FREDERICK W III AND ENDERS ELECTRIC GLORIA J PO BOX 1661 11420 SW 94TH BE,AVERTON, OR 97075 TIGARD, OR 97223 Phone: Phone: 626-4813 Reg M I-IC 00026728 SUP 2028S FILE 34-265C FEES — _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 9/1/99 $64.25 99-318059 Elect'I Final SPCT DEB 9/1/99 $4.50 99-318059 Tota; $68.75 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable aA5. 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 rf work is suspended for more than 180 days ATTENTION o law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 h 952 001-0080 You may obtain-copies of these rules or direct questions to OUNC at(503) 246-1987 i PERMITTEE'S SIGNATURE I its _ ISSUED BY-._4L C . _ OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or tent. OWNER'S SIGNATURE: — _ DATE: CONJRACT44TALLATION ONLY SIGNATURE OF SLIPR. ELEC'N: X DATE: LICENSE NO: Call 6394175 by 7:00pm for an inspection the next business day CITY OF TIGARI. Pla ec � k � Electrical Permit Application Re 'd By��.Y� 13'125 SW HALL BLVD,. TIGARD OR 97223 Date RecdDate to P E. - - Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print of Type �( ((� Permit Fax (503) 598-1960 Incomplete or illegible will not be accepted Called, 1. Job Address: Y - - i 4. Complete Fee Sched�:,e Below: Name of Development_ _ I Number of Inspections per permit allowed Name(or name of business) Seivice included: Items Cost Sum Adds-ess � 1 p S 1,,J ^7 4a. Residential-per unit City/State/Zip c� 2 Cj /Z Z3 1000 sq ft or less $ 117.75 _ 4 Each additional 500 sq it or portion thereof _ _ $ 26.75 1 Commercial ❑ Residential. broiled Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor Installation only: Dwelling Service or Feeder $ 72.75 - 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base / [ Installation,alteration,or relocation Electrical CoI1,t)ractor _ �H�G�'s �(<<i/'+'�C 200 amps or less _� $ 64.25 �f. ZS_ 2 Address /" 'r 'e. /6 201 amps to 400 amps $ 85.50 � 2 � rC � 401 amps l0 500 amps $ 128.50 2 City 1 ��p pLr.4..1 State- 04 zip 0 7 601 amps to 1000 amps __ $ 192.50 2 Phone No. - ZG - ¢�! Over 1000 amps or volts $ 363.75 2 Job No _ Reconnect only -�_ $ 53.50 Elec. Cont. Lice. No Exp.Date__to 1 e, C 4c.Temporary Services or Feeders OR State CCB Reg. No. Z-6- '7 G 9' Exp.Dato L Installation,alteration,or relocation COT Business Tax or Metro No E) 'late 200 amps or less _ $ 53.50 _ 2 /4 a YI-P - 201 amps to 400 amps _ $ 80.25 2 Signature 3�2Cpc' 401 amps to 600 amps $ 107.00 2 >ignature of Supr. Elec'n �' Over 600 amps to 1000 volts, - - License No._ 2,9 Exp Date see"b"above. id.Branch Circuits P lone No. ---G•�)_T-4 k4 - _______ New,alteration ur extension per panel a)The fee for branch circuits 2b. For owner In.Stallatlons: with purchase of service or feeder for.. Print Owner's NameEach branch circuit $ 535 _ 2 Address - b)The fee for branch circuits -------- - ---- --- without purchase of service City-- -- -__-- ---State - Zip- or feeder fee. Phone NoIirst branch circuit $ 37.50 _ - Each additional branch circuit $ 5.3.5 _ The installation is being made on property I own which is not 4e.Miscellaneous intended for s�le, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 _ Owner's Signature _ Each sign or outline lighting $ 42.75 Signal circuit(s)or a limited energy a 3. Plan Review section (if required):* panel,alteration or extension $ 60.00 ►- Minor Labels(10) $ 10700 tti - vi Please check appropriwe item and enter fee In section 5B. 4f.Each additional inspection over _4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection _ $ 50.00 J --- Per hour __ $ 5000 -- ., System over 600 volts nominal In Plant _ $ 5900 _ a� --Classified area or structure containing special occupancy as / � described in N EC Chapter 5 5. Fees: W 5a.Enter total of abode fees $ Submit 2 sets of plans with application where any of the above apply. 7 ,Surcharge(05 x total fees) Not required for tamporary construction services. / subtotal $ 5b.Enter 25%of line 6a for NOTICE Plan Review if required(Ser. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ frust Account# AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ {, I\dstslfnrms\elcctric.doc