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7310 SW HERMOSO WAY
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CITY OF TIGARD BUILDING INSPECTION DIVISION MS.i
24-dour Inspection Line: 639-4175 Business Line: 639-4171 --
BUI%
—� -_Date Requested �G' AM_ NM - BLD _
Location _ ,;t .�' i MEC
Contact Person _ r Ph I PI, ,1
Contractor ( _ Ph C1 r.��' SWR _
BUILDING �nt/Owner ^ ' [ 2�i• 1 I �_ l ELC
1
Retaining Wall ELR
Footing Access
Fo,jndation FPS --
Ftg Drain _ SGN
Craw!Drain Inspection Notes.
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 / L r/ ' - / Q s �-•
PASS PART FAI'_ -- -
PLUMBING
P,:st&Beam -- - - _
Under Slab
Top Out ------ ---- ., ^ i
Water Service _
Sanitary Sewer
Rein Drains 1 -
Final
SASS PART FAIL y`
MECHANICAL
Post R Beam -
Rough In
Gas Line
Smoke Dampers
Final --"-
_ T FAIL
ELECTRICA -
Sefflee
Rough In
UG/Slab
Low Voltage
Fire Alarm
SASS° APT FAIL
Backfill/Grading -
Sanitary Sewer
Storm Drain [ ]Reinc-nection fee of$ _required before next inspection. Pay at City Hall, 13125 Sr11 Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: Unable to insptrt-no access
ADA / �j
Approach/Sidewalk
Other Date '/ 9 -- —Tr~ ( Inspector Q11 G.�L__/-) `yt
�-
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the jvb site.
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-OOe
' ^
13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4111 DATE ISSUED: 01 /0e,/98
PARCEL: 22;101 AP--01602
SITE ADDRESS. . . :073 i 0 SW HERMOS'.1 0AY
SUBDIVISION. . . . :HE RMOSG PARK ZONING:MUE
BLOCK. . . . . . . . . . . L..OT. . . . . . . . . . . . . ;Otli JURISDICTION: TIG
Fero j ert De sr-r-i.pt i on : Add one (1) first branch circuit to an existing couercial
tenant occpy.
-----RESIDENTIAL.- UNIT—— -----TEMP SRVC/FEEDERS-.---- -----MISCELLANEOUS-- —
1000 SF OR LESS. . . . : 0 0 - 200 aFYI P. . . . . . . : 0 PUMP'/IRRIGATION. . . . : 0
EACH PDD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L-T6. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 STGNAI./PANEL. . . . . . . : 0
MANF. HM/ SVC/FD9. . : 0 6Oa +amps-1000 %,O) ts. : 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/FEEDER--_.- ------BRANCH CIRCUITS------- -----ADD' L INSPIECI IONS-----
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPLCTION. . . . . : 2
201 -• 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. - 1 PER HOUR. . : . . . . . . . . . 0
401 - 600 amp. . . . . . : N EA ADD' L BRNCH CIRC: 0 IN PL.ANT. . . . . . . . . . . . 0
601 - 1000 amp. . . . . : 0 --------------------PLAN REVIEW
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL... .
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS nREA/SPEC 0CC. :
Uwner: ---___.___._____--------_____._________._...---.. __ -----..-.--•--.._____- FEES --.____.__.__-•-----_-._.
ACCESS CONTROi_ SUP' type amo,.knt by date r•ecpt
731O SW HERMOSA WY FIRMT $ 35. 00 GEO 01 /06/9B 98-302279
TIGARD OR 97223 SPCT $ 1. 75 GEO 01/06/38 98-?,0227'_.
Phone #:
JPIC ELE-CTR I CAI_ SERVICES INC $ 36. 75 TOTAL
4120 SE. INTERNATIONAL WY
ST'E A--107 ___.._._._ REQUIRED I NSPECT I ONS -----
MILWAUKIE OR 97222 Ceiling Cover Underg.-oo.md Cove
Phone #: 654-7325 Wall. Cover Elect' l Service
Req #. . : 093774
This permit is issued subject to the regulations contained in t .e Tigard Municipal Code, 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 work is not started within 188
days of issuance, or if work is suspended fur more than 180 days. ATTFNTION: Oreqon law requires you to fell,,,, the rules adopted by
the Oregon utility Notification Center. Those rules are set forth in OAR 952--001-0010 through OAR 952-#01-1997. You ray obtain a copy
of these rules or direct questions to Ol1NC by calling 15031246-1987.
Permittee Si gnati.ire : rTt >2CTJ Issued By• G �Y •�-`
_--._.._._ OWNER I NSTAL LAT I ON ONL_.Y-- ----- -------- -------- -- --
The installation is being made on property I own which is not intended for
sale, lease, or- rent.
OWNER' S SIGNATURE: -- __.. DATE:
_.------.--_--_-- --._--------CONTRACTOR INSTALLATION ONLY-----
SIGNATURE OF SUPIR. ELEC' N: �7%-.1 6`2-- � — -- DATE :
LICENSE NO:
++++++++++++++4•+++++++t+++++•4-+ 1-++++++-f-++++f+++4-+++.+++++++4++++++++++++++-F+++f ++
Call 639--4175 by 7:00 p. m. for an inspection needed the next bt-tsiness day
------ted:�1�.i._I...b..k�.+f�j}.s.�.i ....a,..�,t. .a.A.J &A,i.4-�.a..�}....a.�..��...a..4.}�+a..ti.-..+.�.�.�.
:N
Cff! -liw TIGARD Electrical Permit Application Pl&n Check a
13125 SW HALL BLVD. Recd By
TIGARD OR 67223 Date ec'd_- _
Date to P.E.
Phone(503)639-4171, x304 -
Print or Type Date to DST ��
Inspection (503)639-4175 Permit It r✓7I`T -L>C'�"'.5�
Fax(503)684-7297 Incomplete or illegible will not be accepted Called_.
1. Job Address: 4. Complete Fee Schedule Below:
Name of DevelopmentAA Number of Inspections per permit allowed
Name( ,r name of business) �-�a e s, l 0Uf ( -)k f►II vice Includ,2d: Items Cost Sum
�
Address J)Q 5U) � Iify m p q WCL 4a. Residential-per unit
City/State/Zip -l (: �` - loon sq.h.or less -_.._ $110.00
Each additional 500 sq.It.or
Commercial. Residential ❑ portion thereof $25.00
Limited Energy $25.00
Each Manul'd Home or Modular
Jwelling Service or Feeder 168.00 - __ 2
2a. Contractor installation only:
(Attach ropy of all c gent Ilcenscs) 4b.Servi 3s or Feeders
Electrical Contractor �' . ' l Installation,alteration,or relocation
-- 200 amps or less
Address Addf@S9_ t L' 201 amps to 400 amps $80.ju 2
City f,1,,) State ( ' K Zip _ 401 amps to 600 amps <;120.00 2
Phone No. (C.:;.4 - 3.��5 _ 601 amps to 1000 amps $180.1:0 _ 2
J0040. 4-3L` Over 1000 amps or volts _- $340.00 __ 2
Elec.Cont. Lice. No. .3�- 9��C-Exp.Uate Reconnect only $;0.00 2---OR State CCB Reg. 1 10._ ')-=i41,C Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or Oetro No. Sl!�e 0-_Exp at ___ Installation,alteration,or relocation
_ 200 amps or less $50.00
Signature of Supr. Ele.'n 201 amps to 400 amps _ $75.00 _- L
401 amps to 600 amps A $100.00 _
Over 600 amps to 1000 volts,
License Na. Exp.Dete_ I see"b"above.
Phone No.
4d.Branch Circults
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of servlre or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00
City__ State _ Zip -- b)The lee for branch circuits
without purchase of
Phone No. - service or feeder fee. �c �
First branch circuit �, $35.00 2
„1.
The installation is being made un property I own which is not Each additional branch circuit $5.00 - _ 2
intended for sale,lease or rent. 4e.Miscellaneous
Owner's Signature- (Service or feeder not included)
9 - -- Each pump or Irrigation circle $40.00 _
Each sign ur outline lighting $40.00
3. Plan Review section (if required):' Signal circutt(s)or a limited energy
panel,alteration or extension __ $40.0('
�.--_
Please check appropriate item Minor Labels(10) $100.00 and enter fee In section 5B. --
- 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
_-T System over 600 volts nominal Per Inspection x35.00
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. 59.Enter total of above fees $
5%Surchnrge(05 X total fees) $ 1
NOTICE subfufal $
5b.Enter 25%of line 5a for
PERMITS'7ECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If require (Sac 3) $
NOT COMMENCED WITHIN 100 DAYS,OR IF CONSTRUCTION OR WORKI Subtotal $ -
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account
Total balance Due
L
r:wsrsrt.cse PP Rev 9/96
RECEIVED
I
JAN 0 " 199F
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 6; -4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
PosQearn Mech. ;hear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab F'Ibg. Top Out Insulatiui
act.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr!Sdwlk Reins.
Other:
Date: - A.M. . P.M. Entry:--
Address:
Tenant: _ Ste:_ MST:
Con/Own: y BLIP:
—� -- MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR
----------------
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Inspector`!�C �` APC
� � OIN�Lt Dater
_APPROVED __DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD
DIEVE1.. OPMENT SERVICES
13125 SW Hali fflvd.,Tigard,OR 97223 (503)639.4171
I
3L) �� s
Commundy Development ELECTRICAL PSRMIT APPLICATION
13125 SW Nall blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # r-_1 c°--1% -22)0
Phon^ (503) 639-4171 Date Issued _ �,`� a2
FAX (503) 6847297 Issued by
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below.
Name of Development I , Number of Inarections per permit allowed --�
Address I +tti�� V YY�n�{� 11�� � Servlcs included: Items Cost(ea) cAim
_ I
City/State/ZipC.)toy—�� �� r� ]Z Z 4a. Residential.per unit 4
t000 sq It or lase -_ $11000
Name (or name of business) �n(f' l r it 1 _ E"` �""'°nes sod eq ff or
o
gonion thereof $2500 t
Commerciale Residential �f'�l'Z� UmdEach Energy $25W
Each Manul'd Home or Modular
Dwelling Service or Feeder 1189 00
2a. Contractor installation only: 4b.Services or Feeders
mtaVrtlon,afterAuon or relocation 2
Electrical Contractor 'Py-\ 1 c'C�4"1�_. 2ooampeprlsea �_ $6000 � 2
Address � 201 amps to 400 amps $80,10 2
.J1 amps to 600 amps $12000 2
City State Zip Cr ILLL 60, amps to 100i am;e _ $18000 2
Phone No. fT, 7iE-7r Over 1000 amps or volts $34000 2
Contractor's License No. Reconnect only $5000
Contractor's Board Reg. No. ,` _ I 4c. Temporary Services or Feeders
tnetallation alteration.or rolc-.atlon 2
Slgnaturd of Supr. Elec'n / 200 arr,ps or lase $5 L
License No.�/y� _ Phone Z! j 401 amps to ado amps 10:ou = �_
201 amps to 4100 amps $10000
Over soo amps to 1000 votte
2b. For owner installation. babove
4d. Branch Circuits
Print Owner's Name �_. New alteration or extension per panel
Address al The lee for branch arcuds with
purchase or aerv.ee or feeder W. 2
City_ State_` Zip Earn branch circurtZ $500
Phone No. b)The lee for branch arants wtfhouf
The installation is being made on property I own which is purche"e of service or seder Ise.
FvSt branch arcu0 $3500 _
not ir,tended fcr sale, lease or rent. Each adds,onal brand,arcurl $500
Owner's Signature_ _ I 4e. Miscellaneous
(Service or feeder riot Included) 2
3. Plan Review section (if required): Each pump or imgation circle $4000 2
Each sign or oullire lighting $4000
S,gnal c,rrudts)or a limited energy 2
Please check apprnprate item and enter tee in section 5B. panel alteration or extension $4000
I 4 or more rasidenbal units in one Structure Minor Labels(10) $10000
_Service and feeder 225 amps or more
Y � d}. Each additional inspection over
System over 600 molts nominal
_ the allowable in any of the above
Classified area or structure containing sp4+cial occupancy
$a5 c7
P "°"
as descrlbod in N E Chapter 5 _^
Per
r hhourour S15500
In Plant _ Y $S5 00
Submit 2 sets of plants with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE Se. Enter total of above fees $
591,Surcharge(05 X t3tal fees) $ `1 2- 1
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 259%,of line A for
AUTHORIZED IS NOT COMMFNCED WITHIN 180 DAYS, OR IF PI-in Review if required 'Sec.3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS --
COMMENCED FJ Trust Account 0 $
Balance Cue $ r( Z 1
RECEIVED
ApR 0 (a 1991
COMMUNITY pEVf.LOPMEN'.