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14135 SW 114TH AVENUE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Flour Inspection Line: 639-4175 Business Line: 639-417-1 MST
{ - SUP
- �" Date Requested Cl - 4 ` ��e') AM PM _.. BLD
Location Iq -35 S(U 11 t4 TJ4 Suite MEC
Contact PersonLJ C t,, HAk PCP-T- Ph �J�ZZ-77 Pl.M —
Contractor Ph _ SWR
BUILDING Tenant/Owner ,- LC> f:1 - l.!
Retaining Wall -�
Footing ELR ----
Foundation Access
FPS
Fig Drain U /
Crawl Drain Inspection Notes SGN
Slab
Post& Beam --- - SIT -- - --
Ext Sheath/Shear
Int SheathfShear - -- ---- -
Framing
Insulation -- - ----
Dryw;,"mailing
- --- -
Fi,ewall -
,Fire Sprinkler _-
Fire Alarm -- -
Susp'd Ceiling
Roof 1 ✓ -.- - --- - ---
Mise: /
Final
PASS PART FAIL -__ Aa G /n/ a 4A - /� �- ; 12e,0
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
P r AIL
ELECTRICAL -
5ennc,
Rough In -
UG/Slab
Low Voltage _ -
F itz Alarm
' ) PART FAIL
SITE
Backfill/Grading _ - - — -- -----
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: ( j Unable to inspect-no access
ADA
Approach/Sidewalk pate 7i
Other _ Inspector u-� _ Ext _
Final
PASS PART m FAIL 00 NOT REMOVE this inspection record from the job site,,
CITY O TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0497
' 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED: 08/20/98
PARCEL: 2S 1 1 OAB—O380O
SrTrr ADDRESS. . . : 14135 SW 114TH AVE
'-.)SDTVISION. . . . :COLE' S ACRES ZONING:R--7
NL.00K. . . . . . . . . . : LOT. . . . . . . . . . . . . :O18 JURISDICTION: TIG
Project Description: Reconnect only
-----------------------------------------------------------------------------------
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 2Ct - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 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. : 0 PER HOUR. . . . . . . . . . . : o
401 - 600 amp. . . . . . : 17, EA ADD' I_ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 — 1000 amp. . . . . : V, -----------------PLAN REVIEW SECTION----------------
1000+ amp/volt. . . ., . : 0 >a4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 1 SVC/FDR >= 225 AMP'S. . : CLASS AREA/SPEC OCC. :
Owner: __._.__.__________________________.__-----____.____..__.._____. FEES ------------_.._
RIVERWOOD DEVELOPMENT type amount by date recpt
4035 DOUGLAS WAY PRMT $ 50. 00 JSD 08/20/98 98-308466
LAKE OSWEGO OR 97035 SPCT $ 2. 50 JSD 06/20/98 98-308466
Phone #:
Contractor: _____________.-----__--_--___
ROBERTS ELECTRIC INC $ 52. 50 TOTAL
5759 SW 48TH
-------- REQUIRED INSPECTIONS
- __--
PORTLAND OR 137213 Elect' 1 Service
Phone #: V-244-7754 Elect' 1 Final ~W
Reg #. . : 000000
This permit is issued subject to the regulatisns 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 n arted within IN
days of issuance, or if work is suspended for more than 1110 days. ATTENTION: Oregon law requires you to fol the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-081-8010 through OAR 952 You may obtain a copy
of these rules or direct questions to OINdC y calling (583)246-1987.
C R r m i t t e e Signature: L! I s s i.t e d By -
-------------------------------
Y ' _.�-------- _
OWNER INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DALE:
INSTAI.-LATION
SIGNATURE OF SL.1PR. ELEC' N: DATE:
LICENSE NO e
+++t++44.++++++++++4•+++++++++4•++++++++++++++++++++++++++++++-I-++-++++++++++++++++
Call 639•-4175 by 7:00 p. m. for an inspection needed the next business day
+++++++++++•F+++++++++++4-+++++•+++++++++++•++++++++++++++++++++++++++++++++++++++-+
CITY OF TIGARD Electrical Permit Application PlanChec)s.it
13125 SW FALL BLVD. Recd B
TIGARD OR 97223 Date Rec'd i
Date to P.E.
Phone(503)639-4171, x304 Print or Type Date to DS
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit#
Fax (503)664-7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development _ Number of Inspections per permit allowed
Name(or name of business) - Service included: Items Cost Sum
Address JgL3Y SI/J 4a. Residential-per unit
1000 sq.it or loss $110.00
Cit /State/Zi _.--__-.---
Y p r 9�D T �'� Z Z-3 _ Each additional 500 sq.It.or
Commercial ❑ Residential portion thereof $25.00
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $66.00 2
2a. Contractor installation only:
(Attach copy of aR current licenses) 4b.Services or Feeders
Electrical Contractor �1t�i E-.rEc it iCA c Installation,alteration,or relocation
201 amps to 400 amps
Address J 7-" Sw -/ft's 200 amps or lees $60.00 '�7�'� 2
Add $80.00 2
City Pvrfl�.,�( State _Zip���2 401 amps to 600 amps $120.00 2
Phone NO. g6e_q-795"*j 601 amps to 1000 amps $160.00 _ 2
Job N0. Over 1000 amps or volts $340.00 2
Elec.Cont. Lice o. Exp.Date_ Reconnect only $50.0o 2
OR State CCB NO. No. 3a�'6_S Exp.Date_ L92 2 4c.Temporary Services or Feeders
COT Business T or Metro N%. 93U__Exp.Dat Installation,alteration,or relocation
r. 200 amps or loss $50.00 2
Signature of Supr. Ele,"n� 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
C Over 300 amps to 1000 volts,
License o. 3`�- G ,_Exp.Date-i���/ 7 see"b"above.
Phone No. 14y_.]� � ------ 4d.Branch Circuits
Now,alteration or oxtensirn per panel
2b. For owner installations: a)The Ino for branch circwts with
purchase of service or
Print Owner's Name_ _ feeder tee.
Address Each branch circuit $5.00 2
b)The fee for branch circuits
City _- Slate___ Zip,_ _ without purchase of
Phone No.- service or feeder fee.
First branch circuit $35.00 2
1 he Installation is being made on property I own which is not Each additional branch circuit $5.00 _. 2
intended for sale,lease or rent. 4o.Miscellaneous
(Service or leader not included)
OwnOr'S Signature, _ Each pump or Irrigation circle $40 00
Each sign or outline lighting $4000
3. Plan Review section (if required):" Signal circult(s)or a limited energy
panel,alteration or extension $4000
Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $16000
4 or more residential units In one structure 4f.Each additional Inspection over
_Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspection $35.00
Classified area ar structure containing special occupancy Per hour $55.00
as described In N.E.C.Chapter 5 In Plant $55.U0 _
Submit 2 sets of plans with application where any of the above apply. S. Fees:
Not required for temporary construction services. 6a.Enter total of above fees $
5%Surcharge(.05 X total lees) $
N(ZTICCSubtotal 2,
6b.Enter 25%of line 6a for / 1 _7
PERMITS nECOME VOID IF WORK ON CONSTRUCTION AUTHORIZED IS Plan Review if require (Sec.3) $ ---L.-
NOT COMMENCED WITHIN 1 S DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FON A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED ❑ Trust Account#_
Total balance Due t
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