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14135 SW 114TH AVENUE .p w z m z C: m 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 - -- - r C 1 05MELCW ANI nm 49N1 /