13815 SW 114TH AVENUE I
16 sw lVqwrO' AVfWUA
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• CIT: OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business .'.'hone: 6394171
Date Requested: .. o ` /(7 7 A.M. P.M.— _ MST: _
Location: / ,3 Ig-' /``J_ S �l� �� , /y lJE _ BUP: _
Tenant: _ Suite: Bldg: MEC:
Contractor: _ �] Phone: _ p _+ PLM:
(honer: 40AL.E QVIWI}T#AA-IM SAj SI-X----Phone: 3 / ' 7 F 7 — ELC: '?7-0,3 7/
ELR:
SIT:
BUILDING BLDG(cn-'O PLUMBING MECHANICALERI
LECTCAL SITE
Site Post/Beam PoCfBeam Post/Beatn Cover, crvrcc Sewer/Storm
Footipg Roof Undl,!/Slab Rough-In Ceiling Water Line
Slab Framing I'op Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace 'Temp Service MISC.
Masonry Ceiling Rain Thain A/C IJG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Foemd ')r Heat Pump Low Volt
Approved Approval Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
CLQ-V _ � -- - - -- ----_-
0 Call for reinspection inspection fee of S_-_— reyu' d before ext inspection 0 lnnble to inspect
Inspector: __ lite: � -- - Y-_/ — Page_ of
or CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
— 1
Date Recuested: / / ( � A.M. P.M. MST:
Location: 13 1� T%'lJ - BUP:
Tenant: Suite: Bldg: _ MFC:
Contractor: Phone: PLM:
Owner: Phone: �(p 3 �'�`t�Q�� _ 1 LC: cl —7
FLR:
SQr.
BUILDING BLDG ,con't) PLUMBING MECHANICAL GT3tIC SITF
Site PJst/Beanl Post/Bearn Post/Beam Cover/Service Sewer/Stone
Footing Roof UndFI/Slab Rough-in Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer IloodA)Lct Reconnect —'—' Vault
Bsmt Damp I)rvwall Storm Furnace Temp Service MI°C.
Masonry Ceiling Rain Drain A/C UG Slab
Shcar/Sheath Fire SpkU/A1m Crawl&ound I.h l lcat Ptunp Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved nr)(veil Not Approved
FINAL FINAL FINAL FINAL FINAL
fro T r .43 3/ U�4 T /l✓,
2
LD
LL!
J
O Call for reinspection0 Reinspection fee of S required
before next inspection O Unable to inspect
Inspector: _ _ Date: / +� C 7 Page_ of
• CITY ® F TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: rLC97--0371
13125SIV Hall Blvd., Tigard,OR57223 (503)639.4171 DATE ISSUED: 06/19/97
PARCEL: 2S1O32DC-04500
SITE ADDRESS. . . : 13815 SW 114TH AVE:
SUBDIVISION. . . . : V I EWM(,UNT ZONING: R--4. 5
BLOCK. . . . . . . . . . . LO-f. . . . . . . . . . . . . :3:: JURISDICTION: TIG
Pv-o.j oct De scr,i pt i on! instl 2 branch circuits // job I none
- -RESIDENTIAL UNIT---- ---TEMP' SRVC:/FEEDERS---- -------MISCELLANEOUS-----
1000 SF OR L_E:SS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O05F. . . : 0 201. - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
MANE. 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 ERVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401. 61?:2-, amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1. IN PLANT. . . . . . . . . . . : 0
601 '.000 amp. . . . . : 0 ___--------___---------PLAN REV .LW
1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) X00 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) == 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: --------- - __._.___-_____-_.____.___.___.---.__------------_.______ FEES
DALE HAMMERSLY type amol.rnt by date r,ecpt
13815 SW 114TH ST F'RMT $ 40. 00 TAT 06/19/97 97-296201
TIGARI) OR 9722:3 SPCT $ 2. 00 TAT 06/ 19/97 97--296201
F'`,one #:
MICHAEL_ RAFFAEL.L CONSTR $ 42. 00 TOTAL_
15170 SW KIRK RD
_..__ REQUIRED INSPECTIONS
- -
OREGON CITY OR 97045 Ceiling Cover, Undergror-rnd Cove
Phone #: 632-6720 Wall. Coven Elect' 1 Service
Reg #. . : OOO584
This perc�' is issued subiect to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applirable 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtair a copy
of these rules or direct questions to OUNC by calling (503)246-t987. 9
R Frr-mittee Signal.-M,e: �1'v_ _ ---..____....._ Tssi.led B
a.-
_ INSTALLATION
The installation is being made on property I own which is not intended for,
ac. sale, lease, or rent.
w OWNER' S SIGNATURE: DATE::
-------------- ------------CONTRACTOR INSTALLATION ONLY-------__-----__------------_
S I GNnTURE OF SUPR. ELEC' N: �-�� — DATE:
! i r'FNf3F NO:
++•++++++++++f+++++++4+++++++-r•i-++++++++++++++++++++++++++++i++++++++++.++++++++++
Call 639-4175 by 6:00 p. m. for an inspection needed the next brasiness day
+4-++++++++++++++++-1-+++++++++++++++++++4•++++++•1-++4•+++4+++++++++++++++++++++++
@
8--30--1995 12:49PM FROM P. a
CITY OF TiGARD Electrical Permit Applicaftn plan choU V
13125 SW HALL.BLVD. DWIN Sled
TIGARD OR 97223 Date _
Dale to P.E
Phone(503)639-4171,x304 Print or Type Date to DST
Inspection (503)639-4175 PerrrA t
Fax(503)sae-7297 Incomplete or illegible will not be accepted _
calico
i. Job Address: 4, Comprete Fm� Schedule Below: —�
Name of Development_.__!. Numbair at Inspeclfons par permit allowed
Nnme(or/narnig d business`)DALe- /1�Atry ke,e Sr� Service included! Poems Coot Sure
Address{ 3 `O 1 :5— . (lsL—/I'y 7-,L7-,L5 S`r 4a. Reeldantial•per untt
1I7JD via d or Wits
Y 10.00 �.�..,l, •
Cityl5t,ZterLip7�11� Q fr Olt �_ Eam aa*ional 500 so.a.or r
pottiest drarea
Commercial 0 Hesidernia6a
UR1Neo ErMrgy f2s.tao 1
Each Maimed Marne a Mvdutar 1
p+enir%g Ssnriw or Feasor
2a. Contractor installation only:
(Atbtch copy or all curr+rtt Moans") ��%/ W FAM rlan or Feeders
Elec4i�al CorltnYcty " RG M (ru,00 W"n,alt lots t or rvlocadwi
200 xrnpi or bas
Addrer.s 201 amps to 400 tv,tpx fPU.GO Z
City c:- State_Q�L'___.�p�1�1 401 art"to 600 am" „- $120.00 z
Phone No._A3 - � G '? 1 o io r amps to Icoo amps — s211110.0C z
Job No _ -- Over 1000*mos of sae Lw'o0 t
_-- - _ - Reconnrn only $50.00 2
peG Cont Lice.Nc. _Z2 Eip.Date l -
OR Shite CCE)Rog,No.S Q�N 2�2�Exv.Datw Ac.T.mpw"Sarrlon or Fera
I COT Business Tax or Metro No ;)L'2qq Exp.DatoZO;�4 Instw6adort alteratirr+,erros�aolion'
200 arnpe nr Iacs 150.[N Y
Signature of Svpr. Elec'n)'Z1 ?os.mos%0
= ars.00 z
401 amps to WO amps $100.00 2
C,.ar 600 amp*M I OW"go.
Ueensra No. �r _EXp_Date-1.E2L _- am`D-above.
Phone No, ad.Branch Circuits
Now, rd
altamlion or 93avrrion per pa
2b- For owner melted t;0.'? .)Th.M.nor branch ircots*dU
yurclvse of so"100 or
Print Owner's Name— Ean.Orct,N rnic ah clrWq 2
Address — b)The ler nor e.VKh arcuwts
City State Zip___ eithoutPutt na"of
Phone No. service N"►'..r roe �=
Firxt bronrr clrcult J $75.00 2
The installation is beim rnAdf!On property
I own whiLh is not Each addalonsl"rich c mult $5.00 2
Intended for sale,lease or tout. Ia Miscellan" ua
tgarvcv of trader not iidudwO
own"i's;signature _.-__ Eatt.PLFM or rVC9211c'm cl"
Each sigh v outline lioting 340 00 2
3. Plan Review section(if required):' Sp,a1l.altaalloroaniseedenarpy�
para),anaratbn or enenGnn 50.00 2
Mirror Latwb t 101
PIrr its check apprc'lrtate Item end enter fee in aactlon 58.
4 Or mora rax(clfrfttal units In mw atnreturr
4t rAth adi fOonal Inspection over
SrMat and baedrr 225 amps a mora tete allriwobto In any at t?m above
System Over EU0 vdb rrorrtirul Nr In Woc4a� U5.00 _
Clwe~uea or smiewre containing spu.lal occutwnq "r hour $65.00
a6 descnbad in N F C Criaplar S in Plant _
Submit 2 fieri of plana with applientlen whore any of the rasr-m aoply. 5. Fres: _ iJ D•Q
Not required for temporary eonreuctlnn servlc M 6a Enter WW of above lees S '7
5%Surcharge IAS X fetal tons) j
NO I.ICF Subsofal $
SQ Enter ZY%of line 54 for
p,FRMfTs arcoME VOID IF WOf1K Ott CONSTPUCTION AVTHORI)-FD I$ Plan Review M.raqulrgq(Sac.31 �
Nor COMMENCED WITHIN 180 DAYS.OR IF CONSTPUCTION OR WORK itrDfos!
Is SUSnENOEO On aBANDONED FOR A PERIOD OF neo Dar( AI ANY t1 Til A o e .
TIME AFTER W017K IS COMMENCED
Total balance Due