7475 SW HERMOSO WAY 4.
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t 3s,t '• CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
� "'� k�1• Rain Drain Cover/Fervice FINAL:
Footing �Y.
Foundation Water Line Ceiling Plumb.
Post/Beam Mech. Shear/Sheath Framing Meeh.
PIbg.UndJ.
/Flr/Slab Plbg.Top Out Insulation
1 t a t '�,Xr;,irM�84 r
Post/Beam S:ruct. Mech. Rough-in Gyp, Bu. Bldg, f
c ^. So:;el Gas Line Appy/Sdwlk Reins.
Other:
Date: A.M. P. A Entry:
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Andress: _
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Tenant:_ Ste: MST
Con/Own: —.3—•C� -c—c MEC.
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THE FOLLOWING COHRECTIONS ARE REQUIRED. ELR: _ _ _ � t • ,:
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/APPROVED —DISAPPROVED/CALL FOR REINSP. CO
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L_LL i PERMI
CITY OF TIGARD PERMIT #: ELC96 -0456
COMMUNITY DEVELOPMENT DEPARTMENT DATE 10,'04/96
13125 SW Hell Blvd.Tigard,Oregon 97223*6109 (503)639.4171
'"a'rE ),)DDRcr"z. . . 07475 CW HZRV-030 Wn,
AJI NG. R--3. 5
PDIVIGION. . . . HERMOSO PARK ZGI
L.J.... . . . . . . . . . . . . ..7
jest Desr,:r~iFtinn : Installing two bv,anch circ Ltits.
SRVC/FEEDERS---------
1000 SF OR LESS. . . . 3 V71 171 ;200 ,Snip. . . . . " . " Q PUMP/IRRIGATION. 0
ADD' L. 500SF. . . : C 201 400 amp. . . . . . . : 0 SIGN/OUT LINE !_TG. . : 0
IM11"E-D ENERCY. . . . . : 0 401. 60.0 lipp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . . 141
"ANF. HIM/ coVC/r-DR. . '. 0 612111 -f-amps.-I000 volts. 0 MINOR LABEL ( 10) . . . : 0
L'RANCH C I PCU I T"S -.-- ---.('qDDIL 1NSPCCTI0N0
200 amp. . . . . . .. 0 W/SERVICE OR FE5DER: 0 PER INSPECTION. . . . . : 0
.'01 400 Amp 0 1.5t W/O ERVC OR FDR. I PEI. HOUR. . . . . . . . . . . : IZ'
`01 C-00 amp. . . . . . : 0 5n '?IDDIL PRNCH CIRC: I. IN PLANT. . . . . . . . . . . : 0
.01 1000 arnp. . . . . : 0 -PLAN REV I r:W S -:CT ION
1000.1, amp/volt. — . : 0 )4 RES UNITE. . . . . . . . : 600 VOLT NOMINAL. .
-DR N = AMPS. . CLAOS) AREf),,17-1 rj ICC` OCC.ecorinect only. . . . . : 0 SVC/r
"IARVTN VONPE1\1CH)_ER type amol-int by date v-ecpt
7475 SW HERMOSO WPY PRMT 40. 00 JDA 10/04/96 96--284704
5=T 10/04/96 96
TTGnrD OR
'"'hone
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rr- CLECTRICAI_ SERVICES TMC i, 42. 0-21 TOTAL
�x04121 SE INTERNATIONAL WAY
REQUIRED INSPECTIONS
'-IIL.WAUVIt: OR 9722'2' Wall Cover- Elect" 1 Final.
"hone 4. b036543325 Elvctl I Ser-,vice
Peg 0.
This permit is issued subject tc We reg lations contained in the
'igard Municiral '-ode, State of Ore. Specialty Codes and all Other rr'el"Mittee Signatlx,--e
pplicable laws. All work will b! done in occordance with
xpprovii:J plans. This permit will expire if work is not started
ithin 18e days of issuance, or if work is suspended for more
1har, IN days, y
OWNE11 1 r1r3TA1J._AT I ON
he installation is being made en propel-ty I own which is not intondeH Fnr-
"Ile' lease, or rent.
7WNEilG SIGNATURE: DoTt7
r-0114TRM77OR I NITnLLAT ON ONLY-..._._ .__-..._ .. -...____ ___...._.._.._._._..____
1IGNATURE OF* SUPP. ELI= N . Dr)TE.
.TCENSC NO:
Call for- inspection 6730 4175
V
Community Development ELECTRICAL PERMIT APPLICATION
13125 SVV Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # L_L
Phone (503' 639-4171 Date Issued /
CITY OF TIGARQ FAX (503) 684-7297Issued by
TDD No. (503) 684-277 2 —�—'—
Inspection (5031 639-4175
1. Job Address: 4. Complete Fee Schedule Below: `
"arae of Development Number of Inspections per permit allowed —
•
Address 7`i ���� �(E Ir'_. fins c' cor4l-� Service Included. Items Cost(ea) Sum
.
City/State/ZiplcA/2(� c� 1 3 4a. Residential-per unit 4
` �7 , 1000 sq 11 or ivies $11000
Name (or name of businesS)M pZOtrj 4Un1 �-�=� C-04 I ch Additional 500 rq n or •
Portion thereof `•25 00
Commercial❑ Residential® 5 -7Limited Energy V1,500
, Farh MAn1d'd Home or Modulen l
Dwelling Service or Feeder $66 00 ^_
2a. Contractor ins►allation only:
4b.Services nr Feeders
G Inds imo,,alteration,or relocation 2
Electrical Contractor �C�CT�2 C/�� -���<ale S 200 amps or less $6000 _ 2
Address 4{y Qc� SC z'rt &9^/AT.vw/AL �JNY t'Aio7 I .:01 ampa to 400 Amps $8001,1 2
40,amps to 60C amps $120 00 2
City rn t c u;At ail d� _ State EdI�' Zip `{"7•� � 601 8,1138 10 1000 Amps $18000 — 2
Phone No. �5r� –3 3<�5 _ Over 101,0 amps �ofls $34000 2
Contractor's license No. 3,4 - 3 1Reconnect only $F900
Contractor's Board Reg. No. E 3-7-74 4c.Temporary Services or Feeders
Installation,alta atron,or relocation 2
Signature of Supr. Elec'n l -- 200 amps or lama $5000 _ 2
License No. 141 ?l,!' ne No. (o 5(!- 3 3 3 5 201 Amps is 400 ampa $7500
r 401 amps to 600 amps $101100
Over 600 amps to 1000 volts
2b. For owner inst,fllations: see•b•above
Print Owner's Name 4d. Branch Circuits
_._ New,alteration o,extansirr per panel
Address a)The les for branch circuits With,
CityState Zip purchase of service or Arodsr W. 2
Each branch circuit $5 00 _
Phone No. b)The fee for brarv;h circuits Without
The installation is being made on property I own which is purchase of servke or boder Ise.
First branch circuit $35 00 35_ 2
not intended for sale, 9aSe Or rent. f •CSO
Each Additional brands circuit = $500 S•UU
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
2
3. Plan Review section (if required): Each pump or irrigation orde $40 00Foch sign or outline bphfing $4000 _
Signal circud(s)or a limned energy �� 2
Pie.se check appropriate item and enter fee In section 5B. panel,alteration or extension _ $4000
4 or more residential units in one structure Minor LAMIa(10) $10000 —
_�__Service and feeder 225 amps or more
System over 600 volts nominal qf. Each additional inspection oval
j Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chaptor 5 Per inspection $35 00
Per hour $55 no
In Plant $55 00
Submit 2 sate of plans with application where any of the above �—
apply. Not required for temporary construction services. 5. Fees:
NOTICE 15a. Enter total of above fees �—( (��? j $ ��f�.GC,
5%Surcharge(05 X total fees) n $ Q• r0
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal I I+/ $ � �C� i
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) Q _
A PERIOD OF 180 DAYS AT ANY T ME AFTER WORK IS suubictal $ _
COMMENt✓r_0 Q Trust Account M
Balance Due f �a•tJC:)
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CHr_-►a!A (4MUUN f % 4 00
{ I NAME-' t IIiC Cl_w'I�TI x Nl_ 13VC INC; CASH c�MUWN f e 0. 00 i
f � PAYMLN'I UATk a 10/04/96
@ AD1)Rf.:S6 � 4120 BC-, IN'1 --kNAI IUNAL WY tiUB I V IL IUN c
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MILWAUKIL, CIH
PURvi(ISL OF AAYMk N•l AMOUNT PAID pt1f'tpubL. Col POYM1~N 1 AMUUNT PAID
ELECTRICAL PERMIT 40. 00 91 . BUILD PkR �• �0
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PF RMI l # E.L.C: 196-04!A,
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