13589 SW MICHELLE COURT-1 13 31131-13IW ALIS 69S£6
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13589 SW MICHELLE CT
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspmtion Line: 6394175 Business Phone:6394171
L`etc RequcatPd: � )A. P.M`_ MST:
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Tenn':_ Suite: _ Bldg _ MEC:
Contracto.-. / / - Phone_ /�
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BUILDIINC BLDG(con't) PLUMBING MECHANICAL LECTRIC SITE
Site PosbTleam PogVBean Post/Bemn ee Sewer/Storm
Footing R.,-If UneYllSlab Hough-In Ceiling Water Line
Slub Frmninty T.ip Out Cies Line Ror!gh-Du UO Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
Dvrnt Damp Drywall Storm Furnace Temp Service MISC.
I iasonry Ceiling Rain Thain A/C UG SU �(
Fcar/Sheath Fire Spklr/Alm Crnwl/Found Dr I Teat Pump -C —Vol LOi�
Approved Approved Approved CAppmve,0 Approved
Appr/Sdwlk Not Approved Not Approved No[.Approved ved Not Approved
FINAL FINAL FINAL FINAL FINAL
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0 Call for reinspection ❑R.:inspection fee of S required
before nest inapecti,-m f]Unable to Inspect
Inspector. Date:- 071117
7 1 1 1 7 _—^_ Page_ of
CITY OF TIGARD
DEVELOPMENT SER V ICES ELECTRICAL PERMIT
13125 SW Hall Blvd.,TlSard,OII 97223 (SRI 6394171 PERMIT #: 01 /0039
DATE ISSUED: Oi. 23/97
PARCEL: 2S104CA-04200
SITE ADDRESS— 13589 SW MICHELLE CT
SLIBD I V I 9 I 0N. . , . : H I I_LSH I RF ZONING:R-7 PD
BLOCK. . . . . . . . . . LOT— . . . . . . . . . . . :04c
Project Description: Work done to finish out basement. Process "as is. "
Installed limited energy Iianel., claimed inspection only.
--RESIDENTIAL L`NIT---- ----TEMP SRVC/FEEDERS---- •-_•----MISCELL.ANEOUS-_____
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 401A amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED FNERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps -1.000 volts. : 0 MINOR LABEL ( 10) . . . : N
-----SERVICE/FEEDER----- ----BRANCH CIRCUITS----- -----ADD' L INSPECTIONS—-
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTIO14. . . . . : 1
201 - 400 amp. . . . . . : 0 1st• W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 Amp. . . . . . : 0 EA ADD' I. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . : 0 -------------------PLAN REVIEW 517-CTION-•----._--_.---____....
1000+ amp/vol.t. . . . . : 0 ) -4 RES LIN ITS. . . . . . . . : ) 600 VOLT NOMINAL. . -
Reconnect
OMINAL. . :Reconnect only. . . . . s 0 SVC/FDR ) = 225 AMPS. . : +:, CLASS AREA/SPEC OCC. :
Owner,: _..___________________________.__.______...______.__._---___--- FEES _-_---------_
MARCIA LAMBERT type amount by date recpt
1.3589 SW 1 'CHEI_L_E CT PRMT $ 35. 00 JMH 01/2 3/97 97-289359
SPCT $ 1. 7E JMH 01/23/97 97-289359
TIGARD OR 97223
Phone #: 579-0826
Contractor. --------- ------------ -------------------------------------------------._.
MASTERTECH SECURi:TY SERVICES $ 36. 75 TOTAL.
PO BOX 995
------- REOUIRED INSPECTIONS - - --- -
E:STACADA OR 9702: -•0900 Ceiling Cover Elect' l Service
Phone #: 503-233-1158 Wall. Cover Elect' ). Final
Req #. . : 101351.
This pervit is issued subject to the regulations contained in the _ S`� i ce
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee S i gn at ur e
applirible laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
p. within IK days of issuance, er if work is sus;rended for more ty 44- ____..__ _ __ —_
than IS@ days. sued By
- _---._---____._---____.__.__._.___--OWNER INSTALI.-A'T ION 0N1_Y----._.
The installation is being made on property I own which is not intended for
,J sale+, lease, or, rent.
Im OWNER' S SIGNATURE: _ DATE:
F3 ----------------------CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. ELEC' Na _ DATE: _
Y
L I CENSE NO:
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 9722.3 Permit # _ IC 9 7-603 9
Phona (50:1) 639-4111 Date Issued
CITY OF TIGARD TDD Na (�FAX (5(503) 97 � � J
6684-84-2772
Insper:tion (503) 639A175
1. Job Address: 4. Cornp,ete Fee Schedule Below:
Name of Development Number of Inspectlolls per permit allowed
Addressl3i4 a y,J M I C k J10 C♦. Service Included Items Cost(ea) Sum
City/State/Zi Jag 4a. Residential -p9r Omit �.
1000 sq. R or less 5110 on 4
Name (or name of business)4�e& _---- Each addMk)n:l 500 sq.n or
portion thereof $2500 1
Commercial ❑ Resider^ limited Energy -_ $25.00
fp // Fach Manurd Home or Modular
I G 1Z `'f `� ) D"Iling Service or Feeder $89.00 _ 2
2R. Contractor installation nly:
4b. Services or Feeders
Installation,allegation,or reloctollon
Electrical Contractor 2 /E�:N 200 amps or less OFA)00 2
Address '7v a(ai qk< 201 amps to 400 amps _ — $90 011 — 2
City EbrAco6af} Stated Zip��_�_1 �� 401 amps to 600 amps siwoo 2
sola p 919000 2
Phone No. U — (03c,— tri(o`er — -- over amps to $34000 2
Job NO. Reconnect only $5000 2
contractor's license NO. � .3-- Kms4c. Temporary Services or Feeders
Contractor's Board Reg. No;
. 3 S Installation,alteration,or relocation
Signature of u r. FSI C' _ _ 200 amps or less fs _ _ 2
License No. Phone No.=� 201 amps to 400 amps _� $50.00
401 amps to 800 amps $75.00 2
PE-litO a.ablo V't Over 800 amps to 1000 volts $10000 —
2b. ,For owner installations: see"b"above
4d. Branch Circuits
Print Owner's NameNew,e9eretlon or extension per pane
Address at The tee for branch circuits with
purchase of service or feeder fee. 2
Cory State zip Each Manch circuit $5.00
Phone No. b)The Ir„for branch circAs without
The installation is being made on property I own which is purr has 9ofseiviceor;sederfea.Feet branch clrcult 4$%�9.00) 2�-- 2
not intended for sale, lease or rent. Each additional brooch c cult -- $5.00
Owner's Signature 4e. Miscellansotn
(Service or feeder not Included) 2
Irrigation circle $40.00 2
3. Plan Review section (if required): Each pump or Each sign or outline lighting :40.00 —
Signal clrcult(e)or a Ilmhed energy 2
Please check appropriate Item and enter fee in section 58. panel,alteration or extension $40.00
CL
4 or more residential units in one structure Mina Labels(10) _ $100.00
Service and feeder 225 amps or more
N _System over 600 volls nominal 4f. Each additional Inspection over
Ci2ssit'ted area or structure containing special occupancy tho allowable In any of the ahove
as described in N.E.C. Chapter 5 Per Inspection1_ $3e ri
J Per hour $55.00 `Y
In Plant $55.00
m Submit 2 sets of plans with applicatlon where any of the above –
0 apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees tt
5%Surcharge (05 X toad fees)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enterb25%0i line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF _
CONSTRICTIONplan Review H required (Sec.3)
OR WORK IS SUSPENDED OR ABANDONED FOR Plan Re S
A PERIOD OF 180 DAYS AT ANY TIME AFTFR WORK IS Sub --
COMMENCED. ❑❑ Tmst Account N
Wm•no $
Balance Due $