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15995 SW HALL BLVD 1 s to f: x r r� r c s d x I 14 i+ I 15995 SW HALL BOULEVARD \ CITY OF TELECT lICAI_ PERMIT < ' DEVELOPMENT SERVICES PERMIT #: ELC98-0677 PRIM 13125 SW Hall Blvd„ Tigard,OR 97223(503)639-4171 DATE. I SSS lED: 11/10/98 PARCEL: 2S 1 1 1 DD-00":01 'S 1 E ADDRESS. . .. : 15995P SW Fi(al_I.... 131_VD `.�l1BD I V I G I ON. . . . : ZON 1 1\1(3:C-N BLOCK. . . . . . . . . . . LOT— . . . . . . . . . . . . JURISDICTION: T I G 'Iro.j er_t Description: Installatio of 4 branch circuits. - -RESIDENTIAL UNIT-_..--- _--TF.MF' SRVC/FEEDERS---_._ ------MISCELLANEOUS------ 1000 ---._MISCELLANEOUS- -_--f000 SF OR LESS. . . . : 0 0 - '_•'00 amp. . „ . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L_ 500SF:". . . : 0 201 - 400 amp. . . . . . . . 0 SIGN/OUT LINE LTG., . : 0 L..IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL_/PANEL. . . . . . . : 0 MANE, HM/ SVC/FDR. . : 0 601iamps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----,ERV 1.CE/F'EFDER------ ----BRANCH CIRCUITS------ -----ADD' L INSPECTIONS----- 0 NSFECTIDNS--.-- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 FIER INSPECTION. . . . . : 0 01 - 400 amp. . . . . . . 0 1st W/O SRVF_; OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 3 IN PI..ANT. . . . . . . . . . . : 0 601. - 10044 amp. . . . . : 0 -------------------PL..AN REVIEW SECTION---- 1000+ amp/volt. . . . . : 0 ) w4 RES (HITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reronnert only. . . . . : 0 SVC/FDR ) = E25 AMPS. . : CLASS AREA/SPEC OCC. : Owner-: - _---_______.______._.___.___.___._____.._.___.._.._____---______.._.____ FEES PLAID PANTRY type amoi-Int by date rer-pt 15995 SW HFII._I__ B1.._.VD 1='R111 $ 50. 00 DI_.H 11 /10/98 98--31069`1 F I GARD OR 97223 `iF't"T f 2. 50 DL.H 1 1 /1.0/'48 98-3101.9', ='Mone #: Contractor: ------------- -----_----____._.. BECK, ELECTRIC IiJC $ 5,:'. 50 T 0 T A L 9318 SE CHURCH ST __._.__._.... RE OUIRED INSPECTIONS ( CLACKAMAS OR 97015 Ceiling Cover Elect' 1 Ser-vire Phone #: 696-7396 Wall Coven Elect' 1 Final Reg #. . : 00iVIO26 This permit is issued subject to the regulations contained in the Tigard Municipal Codc, 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 wck, is not started within 180 lays of issuance, or if work is suspended for sore than l8N days. ATTENTION; Oregon law requires you to follow the rules adopted by the 1regon Utility Notification Center. Those rules are set forth in OAR 952-001-0810 through OAR 952-001-1987. You may obtain a ropy of these rules or direct questions to Off by calliog 1583)246-1967. Fp r m i t t F e S i g n a t ll r e ; I 5 9 I_I e d By: INSTALLATION The installation is being m.%Oe an property I own which is not intended For sale, lease, or rent. r)WNFR' S SIGNATURE: DATE: -----------------------CONTRACTOR INSTALLATION OMNI. S113NATLIRF OF SUPR. ELEC' N: �7� �AC�[��T�ON _ DATE s I_i CENSE NO: ++++++++t•++++++++++++++++++++++++++++++++++++++.4-+++++++++++4•++++++++++++++++i-++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bl.lsiness day .+++++-1++++++i•++++++++++++++++++++++++++++++++4•+++++++4-+4++++++++9-++++++4•++-t-++4- CITY OF TIGARD Electrical Permit Application Plan Check N- - - 13125 SW HALL BLVD. Recd Dy ' c- A Date Recd !/ '0 TIGARD OR 97223 Phone 1'503) 639-4171, x304 Print Date to DST -_ Inspection (503) 639-4175 c or Type Permit n p Incomplete or illegible will riot be accepted ���� 9�' D� Fax (503)684-7297 Caaed_^ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed -- Name(or name offbusiness)���id i-bn 1 nt�> Service included: Items Cc;st Sum Address .1 l4"�') C; Nett ?Ay i 4a. Residential-per unit w City/State/Zip _[,c IU Ird Q V1 C1 1000 sq.ft.oi less $t 10.00 Each additional 500 sq.ft.or Commercial Residential ❑ portion i $25.00 __. LiEnergy $25.00 -Each Manut'd Home or Modular D - 2a. Contractor installation only: welling Service or Feeder $68.00 (Attach copy of&011 rrr Hili ensiff 4b.Servires or Feeders Electrical C r Cto f �- Installation,alteration,or relocation Addf�ss - `- 200 amps or less $60.00 l 201 amps to 400 amps $80.00 _ City State Zip 401 amps to 600 amps $120.00 2 Phone No. 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No._ Exp Date 1e10119 a Reconnect only $50,00 2 OR State CCB Reg. No. 4 Exp.Date �� 4c.Temporary Services or Feeders COT Business Tax or Metro No.` xp ate Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n ! _ 401 amps to 600 amps $100-00- 201 ams to 4amps 2 Over 600 amps to 1000 volts, License Nr Exp.Date ,^/ o/ see"b"above. Phone N, --)LO - 1 C1L42 - - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. - Each branch circuit $5.00 2 Address �^ ---- h)The lee for branch circuits City .`:MaleZip - without purr-hase of Phone No. _ service or feeder fee. First branch circuit � $35.00 � 2 .t The installation is being made on property I own which is not Each additional branch circuit _ $5.00 � _ 2 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or irrigation circle i $40.00 2 Each sign or outline lighting $40.00 2 3. Flan Review section (if required):* Signal circuit(s`or a limited energy panel,alteration or extension $40.00 2 Please check appropriate item and enter fee in section 5B. Minor Labels(10) $10000 4 or more residential units in one structure 4f.Each additional Inspection over 5orvice and feeder 225 amps or more the allowable In any of the above y�System over 600 volts nominal Per Inspection $35 00 -- Classified area or structure containing special occupancy Per hour $55 00 as described In N.E.C.Chapter 5 In Plant _ $5500 Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services, 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 6b.Enter 25910 of line 6s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Pian Review If reguir (Sec.3) $ - --�- NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 1:1Trust Account TIME AFTER WORK IS COMMENCED. - Total balance Due $ I%DSTS)FLCse APP He„PdW CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Flour Inspection Line. 639-4175 Business Line: 639-4171 ------- BLIP Date Requested T, AM� PM �— BLD Location %�15 Suite MEC Contact Person Ph PLM Contractor ' Ph. 4"..* 2-3 SWR BUILDING enat7bOwner ELC '7 -7 Retaining Wali ELR Footing ;lccess: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN _ Slab SIT Post& Beam - - ---- Ext Sheath/Shear Int Sheath/Shear - Framing _ Insulation - Drywall Nailing Firewall —`-- `- Fire Sprinkler -- Fire Alarm - Susp'd Ceiling Roof Misc: Final PASS PART FAIL --- _ PLUMBING Post - �----�—_�-- Post& Beam -- Under Slab op but -- Water Service Sanitary Sewer ---- ---- - - Rain Drains Final -- PASS PART FAIL MECHANICAL �- Post& Beam - ---- _-- ------ --- ---- —_. Rough In Gas Line -- -- - --_ - -- ------ Smoke ----Smoke Dampers Final - - ----- — - - ------------- ------ -- - PASS PART FAIL ELECTRICAL ---- _ Service Rough In --- UG/Slab _ Low Voltage -� Fire Alarm ASS ART FAIL Tf' Backfill/Grading -- - --- -- -_. -- —��--_—_-- Sanitary Sewer Storm Drain I Reinspection fee of$ - required before next inspection. Pay at City Hall, 13125 SW Hal!Blvd Catch Basin Fire Supply Line I Please cal!f •reinspection RE: — I I Unable to inspect no access ADA Approach/Sidewalk Other Date _ l _ ` Inspector R.---�.` _ Ext Final PASS PART FAIL O N T REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: _ � 2 2 "�;7 _ A.M. P.M. MST: Location: _--���� �� eW ae BIJP: Tenant: Suite: Bldg: _ MEC: Contractor:T— —, Phone: _ PLM: Owner:_ 4�r h"+ _ Y �PhoneF.LC: _ E'LR:_ SIT: r BUILDING WLDG(con's) PLUMBING MECHANICAL LECTRI SITE Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-hi Ceiling Water Line Slab Framing Top Out Gas Line ou - UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Dmnp Di) vall Storm Furnace Temp Service MISC. Masonry Ceiiing Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/mound Dr Heat Pump Low Volt _ Approved Approved Approved C—Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved —TTCQi Annoved Not Approved FINAL FINAL FINAL (TI NA1, FINAL 1z R O Call for reinslx�tion 0 Rein tion fee of Srequired before next inspection O I Inable to inspect lnspector Date: C.. .h _ --� Pie----1--of — CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: ELC97-0240 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/18/97 PARCEL: 2SIlIDD-002201 SITE ADDRESS. . . : 15995 SW HALI.. BLVD SUBDIVISION. . . . : 7ONING:C—N BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURTSDICTICIN: TTG Pro j ect Descr i pt ion: instl 2 branch circuits ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- ---•--MISCELLANEOUS----- 1000 SF OR LESS. . . . - 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 r-ArH ADD' 1 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0 I.. TMTTED ENERGY. . . . . : 0 401 — 500 amp. . . . . . . : 0 SIGNAL_/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6014-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----!3ERVTCF/FFEDFR---- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS--- 0 - 2021 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 P01 — 400 amp. . . . . . : 0 Ist W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . . 0 401 - EOO amp. . . . . . . 0 EA ADD' L PRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 501 — 1.000 amp. . . . . . 0 -----------------PLAN REVIF_W SECTION---------------- 1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 500 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner.. ------------------------------------------------------ FEES ---------------- PLAID PANTRY type amnl.tnt by date recpt 1.5995 SW HALL. BLVD PRMT $ 40. 00 TAT 04/1.8/97 97-293473 TIGARD OR 9722,'"' SPCT $ 2^-.. 00 TAT 04/18/97 97-2:93473 Phone 1k: r,ontractor: -.—_-----.___—_----------------------------------.--__.-- .__—_---_ BECK ELECTRIC INC s 42. 00 TOTAL- 9318 RE CHI.IRCH ST ------- REDUIRED INSPECTIONS ---_ Cl...nrKAMAS OR 97015 Ceiling Cover Underground Cove Phone #: 556--7396 Wall Covet, Elect' ] Set-vice Req #. . : 002529 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t e- $i gnat ure .� applicable laws. All work will be done in accordance with / 1 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. By -----------------------------OWNER INSTALLATION ONL-Y------ ----------------------- Th ., installation is hpi.nq made on property T. own which i.s not intended for saie, lease, or rent. rTWNER' S SIGNATURE: nATF : ---------------------CONTRACTOR INSTALLATION ONLY-------------------___._.______. q T GNATLIRE OF SUPR. FI. EC' N: _ DATF: T CENSE NO: .._..- Call for inspection — 639-4175 7 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # ���U�� _ Phone (503) 639-4171 Date Issued FAX (503) 6847297 Issued by CITY OF TIGARD TDD No. (503) 684-2712 Inspection (503) 639-4175 _ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development �� (� (� Number of Inspections per permit allowed — Address 151�1 h 5W ' ^� (� Service included Items Cost(oa) urn City/State/Zi V `1 � 4a. Residential•per unit 4 1000 sq It or lase $11000 -_ O n fry{A 1 f a h additional sq it o — Name (or nam Q of business) - A_A_l�_t_ 1 V I�JJ portion thereof �''00 1t=�j (JI Landed Energy SJ5 00 Commercial Residential❑ Each Manul'd Homs or Modular 7 Dwelling Service or Feeder __. woo 2a. Contractor installation only: 4b. Services or Feeders Installation,atleralion.or relocation Electrical Contractor _ 200 amps or Lee `. $6000 Address l.l� 1 201 amps to 400 amps — -- $8000 E 401 amps to 800 amps $I r0 00 City C\ Stated Zips 601 amps to 1000 amps $18000 Phone No. ` - Over 1000 amps or vote $3,1000 Contractors License No. Reconnect only $,o no Contractor's Board Reg. No. q 4c.Temporary Services or Feeders Installation,allegation,or relocnlicn Signature of Supr. Elec'n l i 200 amps or lees $50 no ' � 201 amps to 400 amps $75 no License No.� CO J Ph a N0. C �lt 401 amps to Boo amps $100 on ^_ Over 800 amps to 1000 vols 2b. For owner insta.fationS: sits•b•above 4d. Branch Circuits Print Owners Name New,alteration or eMensron per panel Address T a)The lee for branch circuits with purchw eof service or bodw be. City State _ Zip Fact,branch circuit $500 _ — Phone N0. _. b)The tee for branch circuits wffhouf purchase of service or boder An. The installation is being made on property I own which is Fust branch circuit I $3500 not Intended for sale, lease or rent Each additional branch circuit �_ $5 00 - Owner's Signature_ 4e. Miscallanaws (Service or fender not included) 3. Plan Preview section (i/ required): Lach pump or irrigation cirds __ $4000 Each sign or outline lighting $4000 Signal citcun(s)or a limited energy Please check appropriate ite,n and enter fee in section 58. panel alteration or extension $4000 4 or more residen'.lai units in one structure Minor Labels(10) $Inn 0n 1 Service and feedEr 225 amps or more 41. Each additional Inspection over System over 600 Dolts nominal the allowable in any of the above Classified area or rdructure containing special occupancy Per inspection Vr,no as described in N E C Chapter 5 Per hoed $5500 In Plant $5500 Submit 2 sets of plane with application where any of the above Apply. N-t required for temporary construction services. 5. Fees: So. Enter total of above fees $ �L _ NOTICE 5%Surcharge(.05 X total fees) $ 0 _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ _ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _— (',OMMFNCED ❑ Trust Account N $ Balance Due $ �) eaa�e.wrc orm