11600 SW MANZANITA STREET-1 132HIS KZINKZNVW MS 0091T
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11600 SW MANZANITA ST
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
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Date Requested: jT�� 3 J _ A.M. M. MST:
Location: ! �D� ��L _ _ BI JP: ---_
Tenant: _ Suite: Bldg: _ MEC:_
Contractor:,-:I/w— Pitonc: � PLM:
Owner: _
`,t4 li�/� -Lv R: /
QU_ SIT: �-
BU"lN[G BLDG(con't) PLUMBING V MECHANICAL ELI—MICAIf) SITE
Site Poswicatn Post/Beant Post/Beam -£0terl9arVt Sewer/Storm
Footiag Roof iJndFI/Slab Rough-In Cei' Water Line
Slab Framing Top Out Lias Line Uta Sprinkler
Foundation Insulation Sewer flood/Duct t Vault
B%mt tamp I)rywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C iJG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Beat Purnp t.ow
Approved Approved Approvedof ved Approved
Appt/Sdwlk Not Approved Not Approved Not Approved ved Not App-oved
FINAL FINAL FINAL. SAL
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L1 Call for reinspection Rein tion f of S required before nett inspection C]Unable to inspect
Inspector: / '' GL i _ tate: l l7---17— ``�` of—�
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT M: ELC97-0663L�
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13125 SW Hall Blvd.,17gard,OR97223 (503) 4171 DATE ISSUED: 10/09/97
639
PARCEL: 1S134CA-00521
SITE ADIIRESS. . . : 11600 SW MANZANITA ST
SUBDIVISION. . . . :PANORAMA N0. 2 ZONING:R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . :039 JUrRISDICTION: TIG
P'ro.j ect De s c r i pt i on: Add five (5) branch circuits to an existing single family
dwelling.
-----------------------------------------------------------------------------------
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ ',;VC/FDR. . : 0 601+mops-1000 volts. : 0 MINOR LABEL ( 10) . . . s 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- —ADD' L INSPECTIONS---
0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 — 400 amp. . . . . . : 0 1 st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401. — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : 0
601 — 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION----------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------- ------------------------- FEES -------------------
BAILEY, PAUL h APRIL type amount by date reept
11600 SW MA';ZANITA ST PRMT $ 55. (10 GEO 10/09/97 97-299917
TIGARD OR 97223 5PCT $ 2. 75 GEO 10/09/97 97-299917
Phone M:
Contractor: ---------------------------------------------------------------------
THE ELECTRIC GROUP' $ 57. 75 TOTAL
4726 BE MILWAUKIE AVE
------- REQUIRED INSPECTIONS -----
PORTLAND OR 97202 Underground Cove Elect' 1 Final
Phone M: 232-2499 Elect' l Service,
Reg 1i. . : 000436
This permit is issued subject to the regulations contained in the 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 198
days of issuance, or if work is suspended for more than 198 days. ATTENTION: Oregon law requires yoi to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-01-018 through OAR 452-81-1987. You say obtain a copy
L of these rules or direct questions to OUNC by calling (23)246-1987.
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Permittee Signature: _ Issued By:
0-am WX
---OWNER INSTALLATION
I ON ONLY--------------- -
- --__.__.--- _-------------�-- --__...---------__
0 The inst<- ilation is being made on property I own which is not intended for
D sale, leae, or rent.
OWNER' S SIGNATURE: _ DATE: _
-.--------------------------CONTRACTOR INSTALLATION ONLY--------------------------.-.
SIGNATURE OF SUPR. ELEC' N: _ �7�1 _ DATE: 4 _
LICENSE NO: Z Q �✓ -
+++++++++-►++++++++++++++++++++++++++++++++++++++++++++++•f++++++++++++.+++++++++
rall —4JZ5 bg 7:00 p. m. for an ina_pectinn noeded the next hioninpns dwT
++++•:-++++++++-t-+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd, G 14,Tigard, OR 97223 Permit # L- -c 74
-, Date Issued
Phone (503) 639-4171 -
CITY OF TIC�ARD FAX (503) 684-7297
TDD No (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development, _ Number of Inspections per permit allowed
Address 6 o o Sita r'r1aN_24�t I;/ q Seivice included Items Cost(ea) Sum
City/State/Zip 7/64/ZO d RG' 1,72z3 4a. Residential -per unit
—"—� 1000 Sq R or less $11000 4
Name (or name of business)?N/s 14401-1I .rJ�i/�s/ Each addflional 500 sq ft or —
I� 7 portion thereof $25.00
Commercial u Residential bK Limited Energy $2500 1
Each Manurd Home or Modular
Dwelling IIervira or Feeder $66.00 2
2a. Contractor installation only: -�
4b. Services or Feeders
Installation,alteration,or relocation
Electrical Contractor_
200 amps or less $60.00 2
Address y7�t SE �J/G ova�/K/E d✓E 201 amp3 to 400 amps -i $4n oo _ _ 2
Clt7Y[yv� OZ 401 amps to 600 amps $12000 2
StateO
�. Zip p Ln (;01 amps to 1000 amps _ $160 00 2
Phone No. ,5b3- 2'32 - 2.y� _® Over 1000 amps or volts - $34000 2
Job NO_ D O Reconnect only $5000 2
contractor's license NO.26 5e4/3'�—' --
4c. Temporary Services or Feeders
Contractor's Board Reg. No. 1? / Installation,alteration,or relocation
Signature of S pr. lec'n _ p.--- 200 amps or less 2
License NoOS� S W P4Ke No 2Z� 9 201 amps to 400 amps -- $50.00 2
-- 401 amps to 600 amps $7500
Over 600 amps to 1000 volts $100.00 —
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Nan1F' New,alteration or extension per pane
Address a)The fee for branch clicults with
purchase of service or feeder fee. 2
State- - — ZlpEach branch circuit $500
Phone No. _ b)The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. p` 2
not intended for sale, lease or rent. First branch circuit $3500 2
Each additional branch circult $500 �-
Owner's Signature _ _ _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required):
Each pump or rigation circle $40.00 2
F.ach sign or outline lighting $4000
Signal circult(s)or a limited energy 2
Ill Please check appropriate Item and enter fee In section 58. panel,alteration or extension ___ $40 00
r 4 or more residential units in one structure Minor l abels(10) $10000
__ Service and feeder 225 amps or more
N _—System over 600 volts nominal 4f. Each additional Inspection over
_ Classified area or structure containing special occupancy the allowable in any of the above –
as described in N E C. Chapter 5 Per inspection $3500
J Per hour $5500
C0
In Plant _." $5500
Submit 2 sets of plans with application where any of the above
W apply. Not required for temporary construction services. 5. Fees:
'J NOTICE 5a. Enter total of above fees $ ,�
— --- 5%Surcharge (05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ '7T
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) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. Trust Account 0
Balance Due $ �"�;7s—