14895 SW HEIDI COURT r
I
I
Tenor IQIIH DSS 969VT
Date:
6 ---- `'�r CITY OF TIGARD
Name
1 -- � ` -- OREGON
Address Permit#
To Whom It May Concern: RESEARCH
The permit listed above is currently inactive in our file and apparently went un.-noticed,
either by never being inspected or it failed and was never re-checked by one of our
inspectors. Whether or not this be another attempt to make the required inspection, or the
first attempt, (or) creating a new permit, it is the responsibility of the owner to make the
necessary arrangements to obtain compliance and complete t,,e inspection process.
Therefore, you are hereby advised'^ make these arrangements as early as possible,but no
later than 10-working days. I would be most please to assist you in any way that I can,
but you must contact me to do so. You may reach me at 639-4171 ext. 319 between the
hours of 08:00 through 09:00 and at 3:00 through 4:00. If an emergency should arise yoil
may page me at 955-5665 during the remaining,hours.
Issue Date: _Original Notice I)ate: (See Inspection Card)
The following procedure shall apply: This is your-
First Notice- Make the necessary arrangements as mentioned above; Call 639-4175 or
For work without a permit(s)call 639-4171 Ext. 310(Jeanne).
_Second Notice- Without consideration to the contents of the first notice, a
re-nspection fee shall be assessed in the amount of$ 00 ,AND an investigation
fee shall be assessed in the amount of$ Z - 5-0 . The investigation fee shall be
100%of the permit fee. All fees shall be thereafter doubled.
TOTAL DUE: $_/6 Z 5-0
/Third Notice- All fees mentioned above are payable before any inspection can oe
` made. If arrangements are not made within l0-working days from the day of this notice,
the City of Tigard Code Enforcement Agency will be notified and a Civil Infraction
notification will be delivered to the principles in ownership of the above noted address.
All prior fees shall be carried over and doubled and not withstanding any fees assessed by
the Civil Infraction Notice.
2"0 NOTICE: DUE $ lt� 7!P (2) = TOTAL DUE $ -75, � �-
/ It is with my deepest appreciation, that you help in any way that you can to bring closure
to this permit (or) lack of If you wish to speak with me, please do not hesitate to call.
Thank you for your patience and prompt attention regarding this mater.
Rick Bolen _
City of Tigard Inspector I1
13125 SW WBJ 11aard..OR 97 -
CITY OF TIG A RD► Ft. FrTPWAL, 17,1-13MU:
DEVELOPMENT SERVICES PFRMIT
13125 SW Hall Blvd., Tigard,OR 97223 639-4171 Di)TF
ir !T f3W HETDT CT
3!JP,DT.V1G3TnN. . . . -.L.ALNn. L.WAL)A PnPl`
0 7.. . . . . TU R 157)T C T T rN 'r T;'
ort; D(-,sr--i-i pt an . Installation of I branch circuit for hot tub.
PE.13TW,711TTAL tJN1T - -
MOO ET OR LEM). 0 Qt 200 amp. . . . 0 P(JMr-"-' T RR T r -I*T 7 MJ.
r!nn i Ann, L. woor. . . 91 �5 0 1 /400 amp, V; 9 11`3 N 0 1)T 1-1�,.IT`
I.1MITED ENERGY. . . . . 0 4-0) 600 amp. . . . . .. . .1 0 t3TG1qr11,-/PnNF`!.,
,imr. iiw sm,rnp. o Ci 17,1 ",kelpr"1000 valt ,-, : 0 MTp4np I'J'In
ATTIL. 11N191r1F(- 1 T!-!r1'
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1,7,0171 :~imp. . . . . . WP`TW)`rE. OR -pr.r7-. o, rr n INSPrr..
1100 a-mr). . . . 41 1 sA WIC) fH?W, OR FDR. : I PE.R 1'1(.)l.UR. . . . . . . . . . ..
401 Govq amp. . " . " .. 0 r,tl ADDI I.... VIONCH f77f-K,- 0 [N PLANT.
1000 -,Amp . . . . .. ..........-rfl. AN RE-VTFW
10,00 amp/VA.)li'— C"Oil V(if T N,('1 i;',1!_.
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r i nnRn OR 9T1.'1'::, '7':; MB 0;"/q.,
'11.1 C)T1 F, -4- EXPIRED
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This pere3t is issued subjart to the regulations contained in the Tigard Municipa! "Ade, State 0 Oregon Specialty Codes and all othp,-
applicable laws. All wore will be done in accot-dar.ce with approver plans, this perpit will expire if wn4 is not started Whitt W
days of issuance, or if wort, is suspended for erre than IN days, ATTENTION, Iregon law require,, yr,,j to foll-,1W the rules adopted by
the 11regon U)ility Notification Center. Those rults are set fw`h OAR 95K`001-Nje� OAF q0j2r--(*,'-198 all say obtain S Copy
of these r4es or direct q-ip;tions to TIM by calling (50.3)246-1987.
P C- i t t G i 1-1
MAJF R i W ION ONt Y
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CITY OF TIGARD Electrical Permit Application Plan C k q
13125 SW HALL BLVD. Recd _
TIGARD OR 97223 Date Recd
Phone (503)639-4171, x304 Date to P.E.
Inspection (503)639-4175 Print or Type Date to DST
Incomplete or illegible will not be accepted Permit a
Fax(503)684-7297 Called
1. Job Address: 4. Ccn7plete Fee Schedule Below:
Name of Dev9lopment _ - Number of Inspections per permit allowed -
Name(or name of business)�•a1�\+tiv_ f r Service included: Items Cost Sum
Address y16cl'i <, ti A' C 4a. Residential-per unit
City/State/Zlp 1 ', c,rc\ U v c. -4- 7.-Y t `� 2�1 1000 sq.It or less $110.00 _ q
Each additional 500 sq.It.or
Cnmmercial ❑ Residential 1: thereof $25.00
I_Im led Energy $25,00
Each Manuf'd Home or Modular i
Dwelling Service or Feeder $F(3.00
2a. Contractor installation only: --
(Attact copy of all current licenses) 4b.Services or Feeders
Electrical Co!tractor Installation,alteration,or relocation
Address__ _ - " 200 amps or less $60.00 2
201 amps to 400 amps
City State Zi _ -- - 2
--- P -� __ 401 amps l0 000 amps $A20.00
Phone No, 601 amps to 1000 amps $180.00 p
Job No. - - Over 1000 amps or volts $340.00 _ 2
Elec.Cont. Lice. No. Exp.Date -_ Reconnect only $50.00 2
OR State CCB Reg. No. Exp.Date_^�` 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date _ installation,alteration,or relocation
200 amps or less ,50.00
Signature of Supt. Elec'n 201 amps to 400 amps �_ $75.00
-- 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts,
Phone No. -
License No. - _ Exp.Date �-- see"b"above.
-
4d.Branch Circuits
New,alteration or extension per pane!
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name_L,J��\r--, zj�r\c < r feeder fee.
Address %`k 5 -3 \.-\ • t-A _ Each br,;^ch circuit $5.00
City _r -,-, c\ State_&a r Zip S- .I b)The foe for branch circuits
without pur,-hese of
Phone No. 'S c�'� to Z 243\'S service or Ic eder fee.
First branch circuit $35.00
The installation Is being made on property I own which is not Each additional branch circus• $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(service or feeder not Included)
Owner's Signature \ .::� S1 . r�Z"�c+..�..� Each pump or Irrlga!lon circle $40.00 21
Each sign or outline lighting $4000 ,-
3. Plan Review section (if required):* Signal circuit(s)or a limited Pr,,rgy
panel,alterat.on or extension $40.00 __ 2
Please check appropriate stern and enter fee in section 5B. Minor Labels(10) $100.00
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 1500 volts nominal Per Inspection _ $35.00
_ Classified area or structure containing special occupancy Per hour $55.00
as described In N.E.0 Chapter 5 In Plant 7" d $55.00 _
*Submit 2 sets o1 tans with application where an of the above apply. S. Fees:
P PP Y Pp Y�
Not required for temporary construction services. 5s.Enter total of above fees $ -�-'
5%Surcharge(.05 X total fees) $
N-Q1tU Subtotal $
5b.Enter 25%of line 51 for
PERMITS BECAME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec-3) $
NOT CO".NIENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS R1ISPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIM-AFTER WORK IS COMMENCED. El Trust Account s +f/_ 7 f
Total balance Due $
1'\DaTSTI.C98.APP nev 9M
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: E.L-R96-0071
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)830-4171 _ DATEI G51,IE D: 0.R/'Z6/)6
EXPI , PF D
PARCEL : 251l lAC:—0440CA
TF ADDRC: y1
. 4 -)5 SW HL 1l r l CT
JBDIVISION. . . . : LAUNALYNDA PARK ZONING:kt--4. b
._UL;Vl . . . . . . . . . . . LO1 . . . . . . . . . . . . . . I--
.Uject Ue,c:ripti.on. lnsta►11 bUt'filar alarm.
RE:�t'IDENT IAL. • •__..._._..__,._ fit. OCIMMEf�CIbiL_,._••_._._._.�._._..__�__�___.�___.__._______..__.___._..._._.___.._
Al. rmo A. CirERE(3. . . : AUDIO & STEREO. . t INTH11COM rt PAUTNG. .
BURGLAR ALARM. . . . : X L-OXLE.R. . . . . . . . . . : LANDSLAPL:/1RRIGA f. .
I+balff Tit til-"'1-till 1 . . i:::i..OLK. . . . . . . . . . . . MEDILPI.. . . . . . . . . . . . .
Hv:-iC:. . . . . . . . . . . . . : DATA/T.7LL COMM. . . NURSL, CALL. . . . . . . . .
VrIlcUUM iY TLM. . . . : 1`1131.' ALARM. . . . . . .. OUTDOOR L.AN1Y'L
ITHE R: . . HVAC:. . . . . . . . . . . . . PROTECT I VE; I
`4"w r RUMENTAT ION. : OTHER.
.
1 +
TOTAL # OF SYSTEMS' Cl
!E i ic:ant E _..__ ...... .......__.__ ..._.. ._._.. _...__,.._ .. .., ._... _._.._.. .. 3
f`L:L
iRLAARA "TNYLUR type amcr(.(nt L,y d&tte recp.t
SWilli t:il C;1' l`F f1T'1 b 4.0. 00 CJG V.rc_ic f./ L) ��L :_:
rip,CT $ 00 CJS 0x^•'/',6./96 96- c`7LE:,rt!
,ant, #: 503--646-4844
nt;ra(.:.t 0 V, : ...... .... ..._...__. ._,.._ . ._•__...,_. _. _.,_ .._... ........_.._ ..._............_...._ _._,__
4.'. 00 'TU'1'i-li_
s N. E;.. Hf-TNCCiC'I;
1 Fi'T 1.(11"!U Ci T7 '� ;,:: t�: L. a c;•(� ' 4';Ea r•�,i c:r+
a r� Il+,., c't.tL11— ; 54`:f !r l sxc_'t1 i na
q ft. . ':)''r'J 1
Is permit is issued subject to the regulations contained in the
Yard Municipal Code, state of Ore. Specialty Lodes and ai; othe €lr'ill l c 1 . l gnat I(re
.,pplicabie laws. Ail work will be done in accordance with
-in-proved plans. This permit will expire if work is not started /
'.hin 180 days of issuance, c,•, of worse is suspended for store CX C, �4:hm,
�n 160 days. 1 t.t.>1.:e l'I i:"y
. _.. . _ i.ltNhTC.F< 11'6T1-11_�_H1* 1.0114 r.NL`r ___
e :1nstaIIation is; tie o.n(, Made or, property i ower atirr.ia. rr s> rtrot intP-I�1P0 I°ror
a! n,, l (-:awry ci �..r, t
JNF R I ri ;L CSNF•l'T O'41rW. DATE.
.y
C:O1Jl"F�r`if:1..O1}
!V61 ION (]NL ✓ _....
CiyoY1l I!RL' : Ci+ fr �._.._ _.... 17(IT l_. ,;,1. 4 h _
Call fent in;peti.on 63^ 417't
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvc..
igard,OR 97223 PERMIT# 4,QC)6 17071
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY C
PLEASE COMPI-ETE ALL SECTIONS
1. LOCATION OF INSTAL TION 4. TYPE OF WORK
`nJti,�°
Addres RESIDENTIAL—Re%tricted Energy Fee . . . . . . . . . 540.00
(FOR All SYST0,iS)
City State zip Check Tvne ,,Involved:
I ERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND F%PIRE!F WORK
IS NOT STARTED WITHIN 100 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ A io and Stereo Systems
180 DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System'
Conlra(lor AVSMffy_!TT�.� L114.fype��j 04—El Vacuum Systems"
703 NE MAN COCR ❑ other_____
Address �pRTIAND.01 9721:
Date _�: ^r'�,_ _._., -�_ COMMERCIAL--Fee for ear.h system . . . . . . . . 140.00
(SEE OAR 71 B-260-2L0)
Properly Owner_��r�Id.�eS.L Check TyRtf Work Involved;
Contrarlor's Board Reg. No. ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone#
�.---------_^� ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
/�✓ ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State 7ip ❑ Medical
this permit is iss.red under OAR 910-320.370.This applicant agrees to make only r❑ Nurse Calls
restricted energy installations 11(x)volt amps or less)under this permit and to do the 0 Outd Landscape Lighting*
following:
L Only uu•elerincal licensed persons to do installations whom required.(Certain
rotective Signaling
residential and�-Ihvt transactions are.exempt from licensing,These have Other
-
asledsks(•1.All others need licensing). -
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503.639-4175.
❑ Number of Systems
3. Purchaxv separate permits for all Installations that are not ready for inspection
when the inspector is out to Inspect under this permit. *No hi oases are required licenses are mquireu for all other installations
4. Assume responsibility for assuring that all cnrrm-tions required by the inspector
are done,and
5. Assume responsibility for-..ruing for a final Insprctinn when all of the 5. FEES
corrections are coin;rated. ,,11
The person sig;iing for t . per must he the applicant or a person a. Enter Fees $ l , d J
authorized h� mrl ihe, ppiic 1.
h. 5%Surcharge(.OS x total above) $
Sign
TOTAL $12-Ad
Authority if other than applicant
tNLRGAIIA-1 IP