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10840 SW 95TH AVENUE { ADDRESS: BY940 4 a a V) J r-+ co tl! J I:lreconislrnicro(ImMa rgelsYmilding.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 G ' BBLIP —� U Date Requested -7-� - tp c? AMPM BLD Location ONO W `57 Suite MEC Contact Person /,, — Ph --7 S 3 K� PI-M Contractor , L�"c..-1 f Ph Ce,e- SWR r BUILDING Tenant/Owner Retaining Wall ELR Footing Foundation ACC@SS: - FPS _ Ftg Drain �/�/� (i:rawl Drain Inspection Notes: -��-�� SGN Slab I - _ _ ,�- SIT Post h Beam / �� ZlJ')'y�,(� LG' V v al�/ Av Ext Shea+.n/Shear QQ --� � Int Sheath/Shear Framing Insulation Drywall Nailing Firewall r Fire Sprinkler Fire Alarm Ss up'd Ceiling --- Roof Misc: Final 1 PASS PART FAIL PLUMBING Post 8 Beam Under Slab _ ��•�, —.f.G�' s'..11��•�,•-� �� Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL- MECHANICAL Post&Beam -- — G Rough In Gas Line —-- --- - — --- - Smoke Dampers Final — PASS FART FAIL LECTRICAL -- - --- - -- - --- - -- Service Rough In ` G UG/Slab Low Voltage �! f fr larm inti ' PART FAIL -- -- LL) SITE Backfill/Grading - - Sanitary Sewer Storm Of I Reirnepection te('of _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catr,i basin I'lease call ter reinsrwchnn RF Fire Supply 1_�ne Unable to Inspect-no access ADA Approach/Sidewalk �. Other Date j�� Inspector �.� Ext ---- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, CITY O F TIGAR D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0374 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 217/06/98 PARCEL . IS135AC-02700 SITE ADDRECS. . . : 10840 SW 95TH AVE SUBDIVISION. . . . :ASHBROOK FARM Z ON I 1\1 G:R—1"' 01-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :O19 JURISDICTION: TIG Protect Description : DICK -------------------------------------------------------------------------------------------- IJ141T---- ---TEMP SPVC/FEEDERS---- ------MISCEl_LANEC)US------ 1000 SF OR LESS. . . . : 0 0 — 0,00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 500SF. . . : 0 201 — 400 amp. . . . . .. . r 0 SIGN/OUT LINE 1-.TG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER ----- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS---- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 — 600 Amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 4 fN PLANT. . . . . . . . . . . : 0 601 — 19100 amp. . . . . : 0 --------------------PLAN REVIEW SECTION------------------ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOIYINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES ----------------- BARBARA J DICK type amot.int by date recpt 10840 SW 95TH PRMT $ 55. 00 JSD 07/08/98 98-307176 TIGARD OR 972-03 5PCT $ 2. 75 JSD 07/08/98 98-307176 Phone #: Contractor: ------ ----------------------- CITY ELECTRIC' & SUPPLY CO $ 57. 75 TOTAL, 8070 SW NIMBUS AVE -------- REQUIRED INSPECTIONS ----- BEAVERTON OR 97008 ROLIgh- in Elect' l Final Phone #: 641-801.2 E'Ipct' l Service Reg #. . : 42422 This permit is iF5ued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other 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. ATTENTIONi Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-801-0018 through OAR 952-%1-- 7. YOU lay Obtain a LOPY of these rules or direct questions to O1JNC by calling (503)246-1987. Permittee SignAti.irp: Issijed B rL V) ._--------------------------OWNER INSTALLATION ONLY-----------------------.___---.__ ~ The NLY-------------------------------- - The installation is being made on property I own which is not intended for sale, lease, or rent. Cn OWNER' S) SIGNATURE: DATE: INSTALLATION ONLY------------------.---.--.--_. SIGNATURE NLY------------------------------SiGNATURE OF SUPR. ELECIN: DATE: LICENSE NOt ........ ......I.............I...........................4+++t+++++................+++t Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.(siness day 4..........................................4-4.+.......................... Community Development ELECTRICAL PERMIT AP LICATION 13125 SiAl I call Blvd. Tigard, OR 97223 Permit # ^ `� Date Issued Phone (503) 639-4171 CITY Of TIGARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 ^1. .fob Address �4. Complete Fee Schedule Below: Name of Development 1�il ,es, _ Number ^f inspections jet permit allowed Address_01ho_S113 -9'1' Service included: Items Co;,(ea) Sum 1 City/State/Zip k� A of 9-IM _ 4a. Residential -per unit y J / 1000 sq. ft. or less $11000 4 Name (or name of business) v D S` Each additional 500 sq,ft.or -^ portion thereof $2500 Commercial ❑ Residential Limited Energy $2500 Each Manurd Home or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: 4b. services or Feeders instalfation,aflerstion,of relocation Electrical Contractor 200 amps or less $60.00 Address WSW 201 amps to 400 amps $80.00 _ _ 2 401 amps to 600 amps $120,00 2 City State _ Zip 601 snips to 1000 amps $18000 2 Phone Nb. y 1 Z Over 1000 amps or Vohs $340.00 Job NO Reconnect only $5000 contractor's license NO. 4c.Temporary services or Feeders Contractor's board Reg. No installation,o"eratlon,or relocation Signature of Supr. Elec'n 200 amps or less License N,+.� _ PhoneTO. � - 201 amps to 400 amps $70 00 z 401 amps to 600 amps __ $75.00 Over 600 amps to 1000 Vohs $10000 --— 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name New,alteration or extension per pane Address _ i i)The fee for branch circulls with City State _ Zip purchase of service or feeder fee. Each branch circuit $500 Phone No. h)The fee for branch circuits without The installation Is being made on property I own which is purchase of service or feeder fee. not intended for sale, lease Or rent. First branch circuit $3500 35 QQ Each additional branch clrcu8 $500 Owner's Signature____— 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or Irrigation circle $4000 Each sign of uutline lighting $4000 p_ Signal circu%(s)or a limited energy _ Please check appropriate Item and enter fee in section 5B. panel,alteration or extension $40 CO }. 4 or more residential units in one structure Minor Labels(10) $10000 N Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional Inspection over ~ Classified area or structure containing special occupancy the allowable In any of the above -� as described in N E C. Chapter 5 per Inspection $3500 per hour _ $5500 In Plant y $5500 Lo Submit 2 sets of plans with application where any of the above ---- w apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees a5 0D NOTICE 5%Surcharge (.05 X Mal fees) PERMITS BECOME VOID IF WORK OR CONSTRUCTI'IN Subtotal 6b. Enter of e A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOP Plan Review iff required (Sec 3) g A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal g COMMENCED. �T�emnrr•.- F] Trust Account # 8alsnce Due $ ri ai