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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Dour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: ~/ cu A.M. P.M. MS-- _ —
1,ocation —1317—7— a rlUP:
Tenant: _ Suite: Bld : MEC:
Contractor--- PLM:
Phone: ��_
Ovmer: Phone; ELC: —L)
—
__ SIT: _
BUILDING BLDG(can't) PLUMBING NICA, ELECTRICAL SITE
Site Post/13cam Post/Betun Post/Bcem over,crvice_ Sewer/Slonn
Footing Roof Undl'I/Slab Rough-In Cciling Water Liae
Slab Framing Top Out Gas Line Rough-In t iG Sprinkler
Foundation Insulation Sewer Ilocxl/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling I•im Thain IVC UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ih Ileat Pump Low Volt
Approved Approved Approved )proved Approved
Appr/Sfiv.lk Not Approved Not Approved Not Approved roved Not Approved
FINAL. FINAL FINALF7NAi6-.._
1
3
0 Call for reinspection O Reinspection fee of$ required before next inspection C7 t enable toms-ped
Inspector:_ --_- — IPute: Page— --
CITY OF T PERMIT I CAELC98
LIT 133
DEVELOPMENT SERVICES DATE ISSUED: 03/23/98
13125 SW Hall Bled., TigardJR 97223 (503)633.4171
r_ , LIZ r;�l F'AFtCEL.: 2S i 01 DA-•00104
SITE ADDRESS. . . : 12,171 SW 68TH PIK W',' CWt 17„ /
SURDIVISTON. . . . :GTE ?ONING:MUE
BLOCK. . . . . . . . . . . L_;J f. . . . . . . . . . . . . : JURISDICTION: T I G
Flt-o.j ect De scr i pt i on : Installation, alteration, or relocation of (2; two 260 AMP
service or feeders.
___-RESIDENT'AL UNIT---- ---TEMP' SRVC/FEEDERS---- - --- •11ISCELLANEOUS---__.._.._-
1000 SF OR L.ESS. . . . : 0 0 - 200 amp. . . . . . . .. 0 P,UMFI/I RR I GAT I ON. . . . : 0
EACH ADD' L 500EF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . j 0 SIGNAL/P'ANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amp!; - 10'J0 volts. : 0 MINOR LAPEL ( 10) . . . : 0
---- _----BRANCH G I PV:U I TS----- -----ADD' L I N13F'ECT I ONS-----
0 - 200 amp. . . . . . : 2 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 - 401 amp. . . . . . : 0 1.st W/O SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . : 0
401 - F,00 amp. . . . . . : 0 EA ADD' L PRNCH CIRC: 0 IN F'I_ANT. . . . . . . . . . . : 0
601 - 1O00 amp. . . . . : 0 --------.----------PILAN REVIEW SECTION---------_-_.----_.-_
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_.. . :
Reconnect onl : 0 SVC/FDR > - 225 AMP'S. . : CLASS AREA/SPIEC OCC. :
Owner: ____..______.___.____--.---_____-------__.__------______.___ FEES --_--_--_--_--_-_-
GTE type amo+-int by date re-ot
13171 SW 68TH PIARKWAY PIRMT $ 120. 00 GEO 03 /23/98 98-304328
TIGARD OR 97222" SPCT $ 6. 00 GEO 03;23/98 98-304328
Plhone #:
Contractor.,.
OREGON ELECT CONCTRC T N/GRPI IN'- E 126. 00 TOTAL
1010 BE 11TH
-- ----- REQUIRED I N SPIE CT I r)NS ------
PORTLAND OR 97214 Ceiliny Cover Undergroi_ind Cove
Phone #: 234--9900 Well Cover Elect' l. Service
Reg #. . : 0026--9
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Lodes and all other
applicable laws. All work will be done i,i dccordance with approved plans. This emit will ehpire if work is not started within ld@
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. Thcse rules are set forth in OAR 952-MI-0010 thr,)ugl. OAR 952-081-1987. You nay obtain a copy
of these rules or direct questions to OUNC by calling (5Q1)246-1987.
Permittee Signatl_ire : Issi_ied By - -
.t
F-
N
--------------------------------OWNER INSTALLATION ON[...Y___----____________-----____--
The installat :.on is being made on property I nt'n which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: _. _ _ DATE:
INSTALLATION ONLY-----------------------------
t I GNATURE OF SUF'R. F-LEC' N: ��►"� �� DATE:
_—
LICENSE NO: y/
++++++++++++++++++++++ : -s ++++4,++++++ +-++++-F++++++++++-+++++++...4-++++++++++++++++�
Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day
_ r
Community Development ELE;;TRICAL PERMIT APPLICATION
• 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit #
Phone (503) 639-417', Ir, 1
Date Issued _ .. c 19Q&
FAX (503) 684-7297 Issued b
CITY Clot 7;AMk 1 TDD No. (50,x) 684-2772 y
Inspection (503) 639-4175
r 1. Job Address: JOB NO. 75436 4. Complete Fee Schedule Below:
Narne of Development Triangle Park _ _ Number of Inspections. r permit allowed
Address 13171 S4 68th Parkway Srrnce included Items Cost(ea) Sum
City/State/Zi p Tieard,. OR 4a. Residential- per unit 4
W00 nq II or leas $11000
Name (or name of btisiness)�CTF Each additional 500 aq it or
portion thereof $2500
Commercial 13 Residential 0 Limited Energy $2500
Each Manurd Home or Modular 2
Dwelling Service or Feeder $6800
2a. Contractor instrjllation only:
46.Services or Feeders
Installation,allerahon,or relocation 2
Electrical Contractor Oregon Electrin Group 200 amps or less 2 $6000 120.00 2
Address 1010 SE 11th Ave. 201 amps to 400 amps $8000 2
Cit Portland State OR Zi 97214 4olampsto60ownpe s12000 2
y P 601 snipe to 1000 amps _� $18000
2
Phone No, 234-9900 Over 1000 amps or volts $34000 2
Contractor's License No. 26-95C Reconnect only $5000
Contractor's Board Reg. No._ 4c. Temporary Services or Feeders
Installation alleralion,or relocation 2
Signature of Supr. Elec'n__ 200 amps or leas $so 00 2
*— 201 amps to 400 amps $'S 00
License No 28415 o _ �9°QS?_ 401 amps to000amps $10000
Over 600 amps to 1000 volts v-
2b. For owner installations: see•b•above
4d. Bran..:h Circuits
Pr nt Owner's Name_ New,alteration or extension per panel
Address a)The lee for branch circuits with
purchaof servke or bider be.
city- State Zlr` _ se Each branch circuit $600
Phone No. b)The lee for branch circuits 1NI?WW
The installation is being made on property I own which is purchase of servke or bwdw AN.
not intended for sale, lease or rent. East branch cal brl E 00
Each additional branch circuit ES OJ
Owner's Signature 4e. Miscellaneous
(Service or feeder nut included) 2
3. Plan Review seeticn (if required): Each pump or irrigation circle $4000
Each sign or oulline lighting $4000
Signal cimutt(s)or a limited energy
Please check appropriate iterr and enter fee in section 58. panel,alteration or extension $4000
_4 or raore residential units In one structure Minor Labels(10) $10000
SerAce and feeder 225 amps or more
S,stem over 600 volts nominal 41, Each additional t:•ipection over
f,lassified arua or structure containing special v ccupancy the allowable in any of the above
n as described in N.E.C. Chapter 5 Per inspection $3500 _
Per hour $5500
t/) In Plant $5500
Submit 2 sets of ply is with application where any of the above
apply. Not required for temporary construction services. 5. Ifi@@S:
r,
-1
NOTICE Ss. Enter total of above fees $ 120.00
�--
m I 5%Surcharge 1.05 X total fees) $ 6.00
ILD PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S UU
W Sb.Enter 25%of line A for
—j AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
CONSTRUCTION OR WORK IS SLISPF_NDED OR ABANDONED FOR Plan Review if required(Sec 3) 3
A PERIOD OF 160 DAYS AT ANY"TIME AFTER WORK IS Subtotal $
COMMENCED. 0 Trust Account $
Balance Due $ 126.00