11700 SW HALL BLVD Fl
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11'/CO SW HALL BOULEVARD
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Raln Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sneath Framing Mec
Plbg.Und/Flr/Slab Pibg.Top Out Insulation ec
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwik Reins,
Other: — --. — --
Date: A.�M.�_._P.M.�_ Entry:
Address: ___ .a lam— /i� ��►
Tenant: - / �� rM►f� Ste:--.—_ MS1 —_
BLIP:
Can/Own: �__1t'�'s�. MEC:--
PLM:
ELC: �1
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
'4' C
_A::Z tl
Inspector: '-�f --f Date:z
APPROVED _._DISAPPROVED/CALL FOR REINSP. / CO
CITY OF TIGARD ELECTRICAL LC96 T
p'F RM i T 4t.: E L.C96-1Zl1362
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/29/96
13125 SW Hell Blvd.Tigard,Oregon 87223.8199 (503)839.4171
1='ARCF_'L: 1 S 1;.;5L'D-••0 1 20 1
j'ITF ADDRESS_, - 11700 SW HALL BLVD
11EDIVISION. . . . : HOFFARBER TRAC S N0. 2 ZONING:C--G
')LUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . . 8
'roJect Description : Installing two branch L:ircuits.
......-RESIDENTIAL_ UNIT----•- _._.rEMp' ;=3RVC/FEEDERS,------ ------MISCELLANEOUS------
1.01110 SF= OR LEES. . . . : 0 0 - 200 .amp. . . . . . . : 0 IDUMP/IRRIGATION. . . . : 0
.'aCH ADD' L 500SF. . . : 12I 20.1 - 400 amp. . . . . . . : 0 SIGN/OU'r LINE LTG. . : 0
I_IMI-)"ED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . . 0 SIGNAL/PANF_•L_. . . . . . . : III
MAIVF. HM/ SVC/F'DR. . 0 6014-amps-1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0
I NS1='ECT.l ONc- ..
1r.I - 000 amp. . . . . . : 0 W/S;ERVICE OR FEEDER: 0 PIER INSP,E.CTION. . . . . : 0
,_'01 400 <amp. . . . . . : 0 1 st W/O SRV(.; OR FDR. : 1 ._IER HOUR. . . . . . . . . . . : IZI
W1 - 600 amp. . . . . : 0 EA ADD' I_ BRNCH CIRC: i IN F'L.ANT.. . . . . . . . . . . : IZI
!:)01 - 1000 -AMP. . . . . . VI --_.__._----__._1-0LAN RLVIEW SE.CTION.-._.__.__,__ _. ..._
.000+ amp/volt. . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Heconnect only. . . . . : 0 SVC/FDR > 2,25 AMP'S. . : CLASS AREA/SPEC OCC.
(7wner: ___.____.______--_____._.____.___________..____._._._.___ ._-._-- FEES
F-L.LJWERS BY DONNA type amol.int by dat a )-ecpt
1. 1700 SW HAL.L. BLVD F'RMT 6 35. 00 CJS 06/2'9/96 96-283401
5P,CT 1. '75 CJS 08/29/96 9628341111
r IUARD OR 972c'3 F'RMT 4, 5. 00 CJS 08/29/96 96-26340.-
'hone
6-26 340='hone #. 51='C.11 s III. 25 CJS 0E396 96-21340.
1_ontractor^:
4LL CITY ELECTR:!C t 40. 00 TOTAL.
14212 VIORTLAND RD NC #.l.
REQUIRED I NSF'ECT I ONS
�ALEIh OR 97305 Wall Cover- El er.t' 1 Final
t'hone #: Elect' 1 Ser-vice
Ileg ti. . : 081014
This perait is issued subject to the regulations contained in the Am
_Tigard Municipal Code, State of Ore. Specialty Codes and ail other• Pttee Signatiare
app,icable laws. All work will be done in Pccordance with
approved plans. This perait will expire if work is not started
within 13P days of issuance, or if work is suspended for sore
thein 190 days. Issued By
_._._ _. _ _.._... __...._._.. __---..._...._.___._....._.-OWNER INSTALJ_ATICIN ONLY-----_.----__..---..____._._._.___.__..___.__ ._..
)'he installation is being made on property I own which is not, intended for
.Ial. B, lease, or rent.
JWNL_R' S S I GNAT URE : DA 1 F:
INSTAL-L.AT I OIV
:i 1 UNP l URE OF SUF'R. ELE:C' N s ------- DATE:
DATE:
i_I CL.NSE. NO:
Call for- inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Bird.
Tigard, OR 97,e23 Planck/Rec. #4r,- r).934u I
Permit # ac--)G--05-2
Phone (503) 639-4171 Date Issued R-a�7-
FAX (503) 684 7297 Issued by �'hccr Ice X�,m %c'�T
CITY OF TIGARD TDD No. (503) 684-2772 —'
Insraction (503) 639-4175
r1. Job Address: 4. Complete Fee Schedule Below:
Name of Development( % Number of Inspections per permit allowed
Address--f I -)r, 10 .�� SHrvlce Included hems Cost(ea) Sum
City/State/Zip �'�i 4s. Residential- per unit 4
1000 aq It or lona $11-00
Name (or name of business) Sp 1rf-�(2C� /�) f Each adridbns1500eq It or —+ !i
portion fhrreof $2500
Limited Energy -- 525 Ori
Commercial Residential[] --Each Manul'd Home or Modular
Dwelling Service or Feeder !4'+e 00
2a. Contractor instwllation only: 4b.Services or readers
rslallatlon,alteration,or relocation
Electrical Contractor-
1 t tP Cw 200 amps or less $6100
Address~ 201 amps to 400 amps Seo on 2
` / State Zip 401 amps to 600 amps 5120 no 2
c i`Jh�.YyL;10 p 601 ampa 10 1000 am on $1 en on 2
Phone No._--- - - -S?.13, Over 1000 amps or,volts $34000 2
Contractor's License No. 7 Reconnect only W no
Contractor's Board Reg4c. Temporary Services or Feeders
�.+ Instnllatioo alteration or relocation
Signature of Supr. Elec n 200 amps n,less $5000
y c 201 amps to 400 amps $M 00
License Na._. �7 _� Phone Not. 'T_ -jr)Sy..? 401 amps l0 lion amps _ $10000
Over 600 amps to 1000 volts
2b. For owner installations: s.e•t1"Above
4d. Branch Circuits
Print Owner's N3nle New,alteration or extension per panel
Address a)The lee for branch circuits With
City State Zip purchase of servrae or Nader Ne.
Each branch circuit $600
Phone No. b)The lee for branch ata its without
The Installation Is being made on property I Own Which Is purchase of service or Is dr►be. X)
not intended for sale, lease Or rent. First branch circuit $35 00Each adddiorwl branch urcud �_ $500
Owner's Signature __ 4e.Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): rare,pump ot„nation circle S40(10
Fath sign of outhm lighting $4000
Sfgnd cfmu4(s)ora limited energy
Please check appropriate item and enter fee in section 5B. turnPl ahnma,on or PNensfon $40 on _
4 or more residential units in one structure M.1101l abtflr.11 n) $10000 —�
Service and feeder 225 amps or more
System over 600 volts nominal 41. [ach additional inspection over
Classified area or structure containing special occupancy the ailowable In any of the above
,
as described In N.E.C.Chapter 5 .- —1-7hon Per hoar —`— $38.00
$5500
,—�
Submit 2 sets of plans with application where any of the above In Plant $55 00-- — co"
apply. Not required for temporary construction services. 5. Fees:
NOTICE Ss. Enter total of above fees $
5%Surcharge(05 X total fees) $ _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ t
A PERIOD OF 180 DAYS AT ANY T ME AFTER WORK IS subroral $
COMMENCED ❑ Trust Accountill
$ _
Balance Due $
wdllbbMLNWt{IT(Q
PLUMBING PERMIT
C11"YOFTIGARD 'IT PERMIT #. . . . . . . : PLM92-0153
YOF MAR9�1
CMffY DEVELOPMENT DEPARTMENT ORIODN ;'I DATE
13 Hell BMS. P.O.Box 23!97,Tgwd,Oregon 9776AMM 1�yfr 5SUED: 10/08/92
SITE ADDRESS. . . : 11700 SW HALL BLVD PARCEL: IS135DD-012O1
SUBDIVISION. . . . : HOFFARBER TRACT'S NO.2 ZONING: C—G
BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . :28
-----------------------------------------------------
CLASS OF WORK. . :AL1- GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : --
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS.. . :
OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . .
STORIES. . . . . . . . . WATER HEATERS. . . ., . . . CATCH BASINS. . . . . . .
FIXTURES--------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . .
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . , :
T',IB/SHOWERS. . . . : SEWER LINE (ft) . . . . :
WA,ER CLOSETS. . : WATER LINE (ft). . . . :70
DISF'WASHERS. . . . : RAIN DRAIN (ft ) . . . .
Remarks: REPLACE 70 FEET OF WATERLINE
Owners ------- ---------- ------------- ---- ----------------- FEES ------------•--
DONNA HUFFMAN type mount by date recpt
15920 SW GREE.NWAY PRM? t 25. 00 BCR 10/08/92 —
SPCT $ 1. 25 BCR 10/08/92 —
TIGARD OR 97224
Phone #:
Contractors - ----------------- - -____._______
RAYBORN' S PLUMBING
19990 SW CIPOLE ROAD
T UALA T I N OR 97062 —___—.---------------------------------
Fvone #: 692-4139 f 26. 25 TOTAL
Reg #. . : 44110
------- REQUIRED INSPECTIONS ---- --
This pertit is issued subject to the regulations contained in the Watpr Line Irsp
Tigard Munir.ipal Code, State .1 Ore. Specialty Codes and all other F=inal Inspection
applicable laws. All work will be done ir. accordance with
approved plans. This permit will expire if work is not startpd
within 188 days of issuance, or if work is suspended for tore
than 180 days.
�-A
Pe rn i t t e e Signatures
'�-
Issued Bye \
Call for inspection — 639-4175
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