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11227 SW FUNNER ST.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Lirie: 639-4175 Business Line: 5 -4171 —
BUP _
Date Requested_ �� /� i�Jr AM " PM __ TKID
Location_ 11.2-2-7 S41/ ��ti� � 3r. — Suite MEC
Contact Person Ph PLM
Contractor _ _ Ph :;WR _
BUILDING Tenant/Owner ELC /7W– IUG6e-,/
Retaining Wall - v ELR _
Footing Access �!
Foundation FPS
Flg Drain -- SGN ^`
Crawl Drain Inspection Notes: -
Slab - -------. ^- ---- ----- SIT
Post&Beam --
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - -- ------ - -----
/`'�'r - ----
Insulation
Drywall Nailing ,� -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -------- -------
Roof
--
Final
PASS PART FAIL -- -_-- --,
PLUMBING
Post&Beam -
Under Slab
Top Out - -- - ----.___—
Water Service
Sanitary Sewer --
Rain Drains _ r
Final --�•
PASS PART FAIL C
MECHANICAL f
Post&Beam
Rough In
Gas Line —
Smoke Dampers
Final -
ASS ART FAIL
EL CTRICAL
Rough In
UG/Slab _
Low Voltage
Fire Alarm
FI
ASS PART FAIL
Backfill/Grading - _ '-'-
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 YN i fall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE [ ]Unable to irspect- no � r
( F,ss
ADA
Approach/Sidewalk ��� �/
Other I?ate ---- Inspector_
Inspector -
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITYOF TIGARD _ ELL•CTRICAL PERMIT
PERMIT#: ELC1999-00601
DEVELOPMENT SERVICES DATE ISSUED: 10/12!1999
13125 SW Hall Blvd., Tiqard, OR 97223 (503) F39-1171 PARCEL: 2S103AC-01401
SITE ADDRESS: 11227 SW FONNER ST
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT : JURISDICTION: URB
Proiect Description: Electrical alteration
RESIDENTIAL UNIT TEMP SRVC/FEEDERSMISCELLANEOUS
1000 S= OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADO'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/S'XCI FDR: 601+amps - 1000 volts: MINOR LABEL_ 00):
SERVICE/FEEDER _- -_ BRANCH CIRCUITS _ _ ADD'I INSPECTIONS
0 - 200 amp: 1 W/SERVICE OR FEEDER PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FUR: PER HOUR:
401 - 60r) amp: EA ADD'L BRNCFS CIRC: IN PLANT:
601 - 1000 amp: _ PLAN RE'JIEW SECTION _
1000+ amp/volt: >=4 RES UNITS: �- > 600 VOLT NOMINAL:
Reconnect onlL—_�—�— SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owcer: Contractor:
FLENi!NG, DAVID L OV Nr--F�
11227 SW FUNNER
TIGARD, OR 97223
Phone: Phone
Reg #:
FEES Required Inspection
Type By Date Amount Receipt - -� --�_--!
Elect'I Service s
5PC2 BON 10/12/199E $5.14 99-318993 Elect'I Final
PRM3 BON 10/12/199E $64.25 99 318993 ORIGINAL
Total $69.39
This Permit is issued sur,ject to the regulations contained in the Tigard Municipal Code, State of OR 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. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Canter. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questicr's to OUNC at(503)
246-198T
PERMITTLE'S SIGNATURE , ISSUED BY:
OWNER I TALLATION ONLY
The installation is being made on cp rty I ow which i of intended for sale, lease, or rent.
OWr4ER'S SIGNATURE: /� zL DATE;
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:----
LICENSE
ATE:_ _LICENSE NO - - -- -- —- ------
Call 639-4115 by 7:00prn for an inspection the next business day
CITY OF TIGARD Pian Check
Electrical Permit Application Read By
-�---
13125 SW HALL_ BLVD.
l)`f Z
TIGARD OR 97223 Date Recd 1 —
Date to P.E.
Phone (503)639-4171, 004 Date to DS_T
Itlspection (503)639-417;', Print of Type Permit#�r
Fax (.503) 598-1960 Incomplete or illegible wiH not be acceptod Called_
1 Job Address: 4. Complete Fee Schedule Below:
Name of Development__jAY 10/ f'l�1/►'4 Number of Inspections per permit allowed
Name(or name of business) Service included: Items Cost Sum
Address _ �� 7 l L� �/ R J 4a. Residential-per unit
�,�itiiFjLl7 �� _ _ Each sq ft or less _ $ 117.75 _ 4
City/State/Zip
Each additional 500 sq.ft.or
portion thereof _ $ 26 0115
Commercial ❑ Residential S'_ Limited Energy S 60.00
Each M:nufd Home or Modular
2a. Contractor installation only: I Ing Service or Feeder _ $ 72.75 _
(P for to permit issuance,applicants thrust provide contractor license 4b.Services j►Feeders
InI ormation for COT data base). Installs con,alteration,or relocation
EI.�ctrical Contractor 200 amps or less _ C $ 6425 Ca� Z} 2
Address201 -.mps to 400 amps $ 85.50 2
Cit State _ Zi � v 401 amps to 600 amps $ 12850 2
City ---- ----- p ------ - 601 amps to 1000 amps $ 192 50 2
Phone NO _- Over 1000 amps or volts $ 36375 z
Job No. Reconnect only S 53 50 2
Elec Cont Lice No Exp.Date 4c.Temporary Services or Feeders
OR State CCB Reg. No Exp.DateInstallation.alteration,or relocation
COT Business Tax or Metro No Exp Date_ _ _ 200 arr.,s or less $ 53.50 2
201 amps to 400 amps _ $ 80.25 2
401 amps to 600 amps $ 107.00 ~�
Signature of Supr Elec'n _._ _ _ over 600 amps to 1000 volts. ---
see"b"above.
License No Exp Date_ _
Phone NO 4d,Branch Circuits
------ ----- -- - --- New,alte.dtion or extension per panel
a)The fee for branch circuits
2b. For owner Installations: with purchase of service or
7 feeder fee.
Print Owner's Name. _O1)_/ / 11,71et"Afl w _ Each branch circuit $ 535 2
Address 1l A Z '2 S W r oN Alk f b)The fee for branch circuits
without purchase of service
City_ 5 AtA D State OP, Zip 9 2� A3 - or feeder fee.
Phone No (1.2- 0 4-r3-A First branch circuit $ 37.50 -
Each additional branch circuit $ 5.35
The Installation is being made on property I own which is not 4e.Miscellaneous
intended for sale, lease or rent. (Service or feeder not Included)
Each pump or irrigation circle $ 4275
Owner's Signature
Each sign or outline lighting $ 42 75
_
Signal eircuif(s)or a limited energy
(if required).' panel,alteration or extension $ 60.00
3. Plan Review section
1Minor Labels(10) _ $ 48;<9e
Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over /4"
4 or more residenti al units in one structure the allowable in any of the above
Service and feede,225 amps or more Per inspection _ $ 5000
Per hour _ a 50.00
System over 600 volts nominal In Plant S 5900
Classified area or structure containing special occupancy as --
described in N E C Chapter 5 5. Fees:
Ba.Enter total of above fees
* Submit 2 sets of plans with application where any of the above apply. gdoaea Surcharge(� total fees) S
Not required for temporary construction services. Subtotal v $
6b.Enter 25%of line 6a for
NOTICE Plan Review if required(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal t
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS C7 Trust Account# _ y�
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ 7)
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