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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: F 19-4171 I
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Footing Rain Drain Cover/Servics FINAL: I
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meeh.
I mIJ r Plbg.Und/Flr/Slab Plbg.Top Out Insulation Elect.
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Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San, Sewer Gas Line A r/Sdwlk Reins.
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Other. _.
Date: j `�' �l A.M. P.M._— Entry: x
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Inspector: ---� _.. —-- — Date/
—APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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PERMIT #: ELC95--0 35
CITY OF TIGARD
DATE ISSUED: IA /07/95
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: r:_>10 t AD-03100
SUBDIVISION. . . . : 70N I NG:
BLOCK. . . . . . . . . . . 1_01_. . . . . . . . . . . . . .
Project Descc-iption: One misc. •
•----RF DF NT I AL UNIT--. --_ - --Tf MF' SRVs/FEEDERS------ I GCEI_LANEOUS•-•--__-.
1000 ;3r= OR LESS. . . . : 0 0 - .=100 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ODD' I._ 500SF. . . : 0 :01 - 400 <amp. . . . . . . : :•h. SIGN/OUT LINT= Ll-f3. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 1
MPNF. HM/ SVC/FDR. . : 0 Gol +amps- 1000 volts. : 0 MTh!OR LABEL ( 10) . . . : 0
---- SERVICE/FEEDER•---- ----BRANCH C:IRCUITS--------- - _-F1riD' L_ INSPECTIONS-•----
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0 x.00 amp. . . . . ., 0 W!SEP,V.I.CE OR FEEDER: (h f''C R It`ISF'[-r_ TION. . . . . 0 •
201 400 amp. . . . . . : 0 t st W/O SRVC OR FDR. : 0 t'F_R HOUR. . . . . . . . . . . : 0
401 - 60O amp. . . . . . : 0 EA ADD' I_ BRNCH CIRC: 141 11V PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 _____.__.____._.._.._----PLAN REVIEW SECTION----__----_...__.___...._.
1.000+ aMp/volt . . . . . : 0 ) =4 RES UMTS. .. . . . . . . . > 600 VUL.T NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > 225 AMPS_ : CLASa AREA/CSF='EC OCC.
Owner- _._.__..___._.__________.____.____..___...__...__.._.----..__.__.____.__.___.___-- FEES
SACHOF"NER ELECTRIC INC type amount by date recpt
55 SE: MAIN ST PRMT $ 40. 00 CJS 11./07/95 95--272588
SPCT $ 00 CJS 11/07/95 95-272588
F-'ORTLAND OR 97 :14
Phone #- 503-c 33-2006
� C;ontractar.: _._.___._._.___.______________._._____._.__.__.______---________.---•_--
BACHOFNER ELECTRIC, INC. 4 00 TOTAL
55 S. E. MAIN
-_---- - REOUIRED INSPFC'TInNC.;
PORIL. -ND OR 97=:14 Ceiling Cover F_lectricaJ. Servi
Phone #: 503-233-2006 Wall Cover E"lvctrical Final
Reg #. . : 44569 ,
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Special+y Codes and all other Permittee Si gnat mre
applicable laws, All work will be done in accordance with
approved plans, This permit will expire if work is no. started
within 130 uays of issuance, or if work is suspended for more
than IN days. I s s i.ted By
.OWNER IN5TALLATION
The installation is being made on property I own which is riot intended for-
sale,
orsale, lease, or rent.
OWNER' S SIGNATURE:: DATE:
INSTALLATION
i.' SIGNATURE OF SUPR. ELEC' N: _ DATE:
I__I CENSE NO:
Call for inspection - 631`-4175
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li il•it: t Bt~11.;HOVNE:R C I._E.t:TH11, INC' t:MECK r�lMOLINT p 4;-. 60 "*
55 ,E:. MAIN F;l l.:rafiM fIM1.1l.1NT a 0.00 1
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), Job # T-4303
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigan!, OR 97223 Planck/Rec. #
Permit # /r9_s OSs, S
Phone (503) 639-4171 Date Issued L- 7 I�S —
FA.X (503) 584-7297Issued bye
CITY OF TIGARD TDD No. 1503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development-- —" Number of Inspections per permit allowed
Address_695(�Sw Hampton
Service included Items Costlea) Sum (I
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41l
City/State!ZipT,igard,, Oregon 92223 4a. Residential• per unit "
1000 aq II or lesa $11000
Each additional 500 aq ft or
Name (or name of business) Advanta e Fornlporion thereof $2500 '
Limited energy —_ $25 00
Commercial Residential ❑ Each Manurd Home or Modular
Dwelling fiervirn or Feeder W 00
2a. Contractor instaffation only: 4b.Services or Feeders
Installation,alteration.or relocation
Electricai Contractor u=(�hnfnr+r F.l act ri --' T nr r- 200 amps or less SW 00
00 2
Address 55 w�� Main St. - sot amp01 ere to so0 amto 400 ps sEz�oo - 2
City pt�rt 1 and State OR zip—U114-- 601 ampe to 1000 amps str o 00 _ Y z
Phone N0. Over 1000 amps or volts $3'000 —a--
233 Zvvv_ Reconnod only $5, 00
Contractor's License No. 26-451C —
Contractor's Board Reg. No. 44569 , 4c.'remporary Services or Feeders f
/� ' installation,alteration,or relucation ? V
Signature of Suor. Elec'n ��� 200.imps or leis —— 35000
--7� 201 amps to 400 amps $7500 }
License No._,2808S Phone No. 233-'006 401 amps to eon amps -� $10000 -`
Over 000 nmrr to 1000 volts i
2b. For owner installations: see W above
4d. Branch Circuits
Prin' Owner's Name_ _ New,alteration or extension per panel
Address _ a)"«it a for branch carulte with
City State_ Zip pumr:ha"of eervke or Nader fee. 7
Each branch circuit $500
Phonle No. b)The too for branch circuits wffttM
The installation is being made on property I own which is purchase of servke or Mede►Ne,
First branch urcurt $35 00
not inter:ied for sale, lease or rent. Each additional branch circuit 3500
Owner's Signature 4e. Miscellaneous
(Service or leader not included)
3. Plan Review section (if required): Eanh pump or irrigation coda $4000
Each sign or outline lighting $40 00
Signal circuit(s)or a limited energy
Please check appropriate item and enter fee in sectinn 58. panel,alteration or extension L 34o oo 40.00 .4 ar more residential units in one structure Minor Lahsls(10) $100 DO
:service and feeder 225 amps or more
System over 6'JO volts nominal 4f. Each additional inspection over
Classified area or structure containing spacial occupancy the allowable in any of the above
nspas described in N E C Chapter 5 Parer how hour "°^ $3500 —
p $5530 _
In plant $,F 0n
Submit 2 sots of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
6 NOTICE 5a. Enter total of above fees $ 40.00
5%Surcharge(05 X total fees) $ 2-nn
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Sub:ofal $ d7-Of)
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR h.'ANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAl'6 AT ANY TIME AFTER WORK IS Subtotal $ _—
COMMENCED ❑ Trust Account M $
Balance Due $ 42.00
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